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Organization
WATERFRONT FAMILY DENTISTRY PLLC
Active
Organization
WATERFRONT FAMILY DENTISTRY PLLC
Active
Other names
Chase Oaks Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LAVANYA RUDRAPATNA DMD (OWNER)
(214) 563-5333
Entity
Organization
Contact information
Practice address
255 W LEBANON STE 300, FRISCO, TX 75036-3415
(972) 987-4343
(972) 987-4346
Mailing address
255 W LEBANON STE 300, FRISCO, TX 75036-3415
(972) 987-4343
(972) 987-4346
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/20/2021
Last updated
10/19/2023
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