Provider Demographics
NPI:1588936900
Name:JSF VENTURES PLLC
Entity type:Organization
Organization Name:JSF VENTURES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SWAPNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-265-9033
Mailing Address - Street 1:2208 NEW COLLEGE LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5500
Mailing Address - Country:US
Mailing Address - Phone:972-265-9033
Mailing Address - Fax:
Practice Address - Street 1:3000 CUSTER RD
Practice Address - Street 2:STE 325
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4422
Practice Address - Country:US
Practice Address - Phone:972-265-9033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21127122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty