# ANDES DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ODESSA FAMILY DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346759487
- **Authorized official:** KEERTHI MIRYALA DMD (MEMBER)
- **Authorized official phone:** (832) 762-1914

## Contact information

- **Practice address:** 1157 E 42ND ST STE A, ODESSA, TX 79762-7723
- **Practice address phone:** (432) 242-6666
- **Practice address fax:** (832) 379-5175
- **Mailing address:** 1157 E 42ND ST STE A, ODESSA, TX 79762-7723
- **Mailing address phone:** (432) 242-6666
- **Mailing address fax:** (832) 379-5175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 06/04/2024