# DESOTO DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275904641
- **Authorized official:** DR. MAHESH BABU GONDI D.M.D. (PRESIDENT)
- **Authorized official phone:** (972) 750-0610

## Contact information

- **Practice address:** 116 W PARKERVILLE RD, STE \# 112, DESOTO, TX 75115
- **Practice address phone:** (972) 750-0610
- **Mailing address:** 3200 PARKWOOD BLVD, \#310, PLANO, TX 75093-8750
- **Mailing address phone:** (972) 750-0610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 22213 | TX | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 02/03/2016