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Organization
TOOTH BARN LLC
Active
Organization
TOOTH BARN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAJITA KODALI KANURU DDS (DENTIST/OWNER)
(512) 361-0696
Entity
Organization
Contact information
Practice address
2261 GATTIS SCHOOL RD STE 300, ROUND ROCK, TX 78664-2886
(512) 361-0696
Mailing address
2261 GATTIS SCHOOL RD STE 300, ROUND ROCK, TX 78664-2886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/15/2025
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