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Organization
EASTLAND DENTAL PLLC
Active
Organization
EASTLAND DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMALPREET SHALLU DMD (OWNER/DENTISTW)
(347) 759-2152
Entity
Organization
Contact information
Practice address
963 E MAIN ST, EASTLAND, TX 76448-3014
(254) 488-9077
Mailing address
963 E MAIN ST, EASTLAND, TX 76448-3014
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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