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Organization
KB DENTAL II P.C.
Active
Organization
KB DENTAL II P.C.
Active
Other names
SOUTHFORK DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINDU M KOLLI D.M.D. (PRESIDENT)
(972) 459-7500
Entity
Organization
Contact information
Practice address
1071 W FM 3040, STE800, LEWISVILLE, TX 75067-7904
(972) 459-7500
(972) 459-7555
Mailing address
1071 W FM 3040, STE800, LEWISVILLE, TX 75067-7904
(972) 459-7500
(972) 459-7555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21085
TX
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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