Vani Pavan, PERIODONTIST Valid NPI
Individual provider · Periodontics · Marlin, TX
- NPI
- 1053657494
- Type
- Individual (Type 1)
- Primary specialty
- Periodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0300X
- License number
- 28582 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-12-12
- Last updated
- 2020-03-17
Practice location
110 Church St
Marlin, TX 76661-2809
(972) 670-4991