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Organization
SUPRITHA V HANGAL PLLC
Active
Organization
SUPRITHA V HANGAL PLLC
Active
Other names
Brite Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUPRITHA HANGAL DDS (OWNER)
(216) 269-7199
Entity
Organization
Contact information
Practice address
15002 ELLA BLVD STE 42, HOUSTON, TX 77090-5622
(281) 872-9696
Mailing address
15002 ELLA BLVD STE 42, HOUSTON, TX 77090-5622
(281) 872-9696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304469526
—
TX
Enumeration date
10/14/2016
Last updated
10/14/2016
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