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Individual
SHANKAR VENKAT
Active
Individual
SHANKAR VENKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42281
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
0270
NC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
14438
NC
Other
Enumeration date
07/18/2018
Last updated
05/04/2026
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