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Organization
SPK FAMILY DENTAL PLLC
Active
Organization
SPK FAMILY DENTAL PLLC
Active
Other names
Carrier Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HARITA KODALI DMD (OWNER/PROVIDER)
(972) 546-3888
Entity
Organization
Contact information
Practice address
355 E WESTCHESTER PKWY STE 200, GRAND PRAIRIE, TX 75052-2846
(972) 546-3888
Mailing address
355 E WESTCHESTER PKWY STE 200, GRAND PRAIRIE, TX 75052-2846
(972) 546-3888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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