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Organization
SHAKTI DARSHAN PLLC
Active
Organization
SHAKTI DARSHAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINTUKUMAR LAD (DDS)
(617) 513-1942
Entity
Organization
Contact information
Practice address
10313 ROATAN TRL, FORT WORTH, TX 76244-2039
(617) 513-1942
Mailing address
10313 ROATAN TRL, FORT WORTH, TX 76244-2039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29393
TX
Other
Enumeration date
07/28/2017
Last updated
08/21/2017
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