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Organization
KRIS DENTAL PC
Active
Organization
KRIS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJEEV GOPALAKRISHNAN D.D.S (PRESIDENT)
(210) 822-5747
Entity
Organization
Contact information
Practice address
1432 AUSTIN HWY, SAN ANTONIO, TX 78209-4902
(210) 822-5747
Mailing address
1921 NORFOLK ST, HOUSTON, TX 77098-4223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0022113
TX
Other
Enumeration date
10/04/2010
Last updated
05/19/2011
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