# KURUVILLA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366810830
- **Authorized official:** JINI KURUVILLA DMD (DENTIST)
- **Authorized official phone:** (832) 641-8608

## Contact information

- **Practice address:** 13180 WESTPARK DR STE 106, HOUSTON, TX 77082-4936
- **Practice address phone:** (832) 641-8608
- **Mailing address:** 10834 FLETCHER BRIDGE LN, SUGAR LAND, TX 77498-2057
- **Mailing address phone:** (832) 641-8607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 25871 | TX | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015