Molli, Vijaya Lakshmi Pavan
Molli, Vijaya Lakshmi Pavan is an individual health care provider with primary practice located at 4021 Reggis Ct Ste 313 , Fort Worth TX 76155-3958. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Molli, Vijaya Lakshmi Pavan can be contacted via phone (817) 764-1496.Contact Information
Primary practice address
4021 Reggis Ct Ste 313
Fort Worth TX 76155-3958
Phone: (817) 764-1496
Fax: (817) 997-4342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 37900 | Texas |
Profile Details
| NPI number | 1447921200 |
|---|---|
| LBN Legal business name | Molli, Vijaya Lakshmi Pavan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2021 |
| Last updated | Feb 24th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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