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Organization
SRILASIMHA
Active
Organization
SRILASIMHA
Active
Other names
Kleen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAISHNAVI IYER DDS (DENTIST)
(214) 247-7255
Entity
Organization
Contact information
Practice address
838 S CARRIER PKWY, GRAND PRAIRIE, TX 75051-1517
(214) 247-7255
Mailing address
838 S CARRIER PKWY, GRAND PRAIRIE, TX 75051-1517
(214) 247-7255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212704505
—
TX
05
—
306940301
—
TX
Enumeration date
09/12/2012
Last updated
02/13/2013
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