# DENTIST TREE PC

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

## Provider details

- **NPI number:** 1740631613
- **Authorized official:** DR. PRAVEENA SEETHARAM SHETTY DMD (PRESIDENT)
- **Authorized official phone:** (703) 338-9735

## Contact information

- **Practice address:** 921 SOUTH ERBY CAMPBELL BLVD, STE 500, ROYSE CITY, TX 75189
- **Practice address phone:** (703) 338-9735
- **Mailing address:** 2184 SAXON WAY, ALLEN, TX 75013-5825
- **Mailing address phone:** (703) 338-9735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 26239 | TX | Yes |

## Other

- **Enumeration date:** 06/22/2016
- **Last updated:** 06/22/2016