# HARIKA LALA DDS PLLC

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

## Provider details

- **NPI number:** 1295113710
- **Authorized official:** HARIKA LALA DDS (OWNER DENTIST)
- **Authorized official phone:** (469) 247-1332

## Contact information

- **Practice address:** 4021 REGGIS CT, SUITE \# 313, FORT WORTH, TX 76155-3957
- **Practice address phone:** (469) 247-1332
- **Mailing address:** 4021 REGGIS CT, SUITE \# 313, FORT WORTH, TX 76155-3957
- **Mailing address phone:** (469) 247-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 29726 | TX | Yes |

## Other

- **Enumeration date:** 05/16/2015
- **Last updated:** 05/16/2015