# ANKITHA PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Elm Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326856105
- **Authorized official:** DR. SHANTHALA GOWDARA SRINIVASA REDDY DDS (GENERAL DENTIST)
- **Authorized official phone:** (407) 227-0000

## Contact information

- **Practice address:** 305 E ELDORADO PKWY STE 101, LITTLE ELM, TX 75068-5112
- **Practice address phone:** (407) 227-0000
- **Mailing address:** 3718 PLATTE RIVER TRL, PROSPER, TX 75078-2696
- **Mailing address phone:** (407) 227-0000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/25/2024
- **Last updated:** 12/25/2024