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Organization
ANKITHA PROFESSIONAL CORPORATION
Active
Organization
ANKITHA PROFESSIONAL CORPORATION
Active
Other names
Elite Elm Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTHALA GOWDARA SRINIVASA REDDY DDS (GENERAL DENTIST)
(407) 227-0000
Entity
Organization
Contact information
Practice address
305 E ELDORADO PKWY STE 101, LITTLE ELM, TX 75068-5112
(407) 227-0000
Mailing address
3718 PLATTE RIVER TRL, PROSPER, TX 75078-2696
(407) 227-0000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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