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Organization
AK DENTAL PLLC
Active
Organization
AK DENTAL PLLC
Active
Parent organization
AK DENTAL PLLC
Other names
AK Dental PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AK DENTAL PLLC
Authorized official
DEVISREE NEKKANTI D.M.D (DR.)
(732) 428-9958
Entity
Organization
Contact information
Practice address
7010 W HIGHWAY 71 STE 225, AUSTIN, TX 78735-8341
(732) 428-9958
Mailing address
16301 DONOHER DR, AUSTIN, TX 78717-4203
(732) 318-2848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/15/2022
Last updated
11/01/2022
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