VANDE MATRAM PERIODONTOLOGY PA NPI 1225213176

NPI Information

VANDE MATRAM PERIODONTOLOGY, PA is a periodontics dentist in Keller, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. VANDE MATRAM PERIODONTOLOGY, PA NPI is 1225213176. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Randhir K Kapoor, Dds., Phd..

The provider's business location address is:

1674 KELLER PKWY
# 160
KELLER, TX
ZIP 76248-751
Phone: (817) 741-4867
Fax: (817) 741-3333

The provider's authorized official is Randhir Kumar Kapoor .
The authorized official title is Periodontist and has the following contact phone number (817) 741-4867.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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