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Organization
VEERABHADRA PLLC
Active
Organization
VEERABHADRA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYATHRI GUNDA DDS (OWNER)
(817) 358-0909
Entity
Organization
Contact information
Practice address
1600 BEDFORD RD STE 200, BEDFORD, TX 76021-5702
(817) 358-0909
Mailing address
1600 BEDFORD RD STE 200, BEDFORD, TX 76021-5702
(817) 358-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417241209
NPPES
TX
Enumeration date
03/18/2019
Last updated
10/01/2019
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