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Organization

SAI RAGHAVENDRA DENTAL GROUP PC

Active
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Organization

SAI RAGHAVENDRA DENTAL GROUP PC

Active
Other names
Smiles of Frisco
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AJAY PACHIPULUSU DDS (DENTIST)
(469) 598-1042
Entity
Organization

Contact information

Practice address
400 STONEBROOK PKWY UNIT 401, FRISCO, TX 75036-1181
(469) 598-1042
Mailing address
400 STONEBROOK PKWY UNIT 401, FRISCO, TX 75036-1181
(469) 598-1042

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—

Other

Enumeration date
04/09/2024
Last updated
04/15/2024
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