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Organization
LUNA DENTAL PLLC
Active
Organization
LUNA DENTAL PLLC
Active
Other names
Elevated Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN KERDLAPPOL DDS (OWNER/DENTIST)
(832) 277-7805
Entity
Organization
Contact information
Practice address
5822 SIENNA PKWY STE 850, MISSOURI CITY, TX 77459-7356
(832) 277-7805
Mailing address
4642 SANDERS MEADOW LN, SUGAR LAND, TX 77479-7089
(832) 277-7805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
02/23/2020
Last updated
12/06/2024
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