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Organization
GURU DATTA PLLC
Active
Organization
GURU DATTA PLLC
Active
Other names
Smile N Shine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJUSHA TUMMALA DDS (GENERAL DENTIST)
(848) 391-6885
Entity
Organization
Contact information
Practice address
6500 DENTON HWY STE B1, WATAUGA, TX 76148-2526
(817) 428-4005
Mailing address
654 BANBURY RD, COPPELL, TX 75019-2063
(848) 391-6885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
10/15/2023
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