Provider Demographics
NPI:1871996025
Name:CARUS DENTAL
Entity type:Organization
Organization Name:CARUS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:254-933-3993
Mailing Address - Street 1:511 LAKE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1403
Mailing Address - Country:US
Mailing Address - Phone:254-933-3993
Mailing Address - Fax:254-933-2757
Practice Address - Street 1:511 LAKE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-1403
Practice Address - Country:US
Practice Address - Phone:254-933-3993
Practice Address - Fax:254-933-2757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30478122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty