# LAKSHMI DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003664459
- **Authorized official:** LAKSHMI MYLA (PRESIDENT)
- **Authorized official phone:** (571) 528-8455

## Contact information

- **Practice address:** 1776 E GLENDALE AVE, PHOENIX, AZ 85020-5505
- **Practice address phone:** (571) 528-8455
- **Mailing address:** 507 E HELENA DR, PHOENIX, AZ 85022-1830
- **Mailing address phone:** (571) 528-8455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2024
- **Last updated:** 05/10/2024