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Organization
KUNDURU DENTAL PLLC
Active
Organization
KUNDURU DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEMANTH KUNDURU (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
4164 S BROADWAY AVE, TYLER, TX 75701-8719
(903) 939-0703
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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