Provider Demographics
NPI:1013354398
Name:MASRANI, SALOME KIRIT (DDS, MPH)
Entity type:Individual
Prefix:DR
First Name:SALOME
Middle Name:KIRIT
Last Name:MASRANI
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14001 BEE CAVE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-7173
Mailing Address - Country:US
Mailing Address - Phone:512-768-8551
Mailing Address - Fax:
Practice Address - Street 1:14001 BEE CAVE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-7173
Practice Address - Country:US
Practice Address - Phone:512-768-8551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX335791223E0200X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics