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Organization
TEXAS PROSMILES PLLC
Active
Organization
TEXAS PROSMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHANA MANOHAR LANKUPALLI DDS (OWNER)
(732) 688-5939
Entity
Organization
Contact information
Practice address
9400 CLIFFORD STREET, STE 110, FORT WORTH, TX 76108
(732) 688-5939
Mailing address
6904 TABERNACLE DR, PLANO, TX 75024-7560
(732) 688-5939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
25741
TX
1223G0001X
General Practice Dentistry
Primary
25821
TX
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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