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Organization
PHILOMENA STREET PLLC
Active
Organization
PHILOMENA STREET PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA KUMAR PASUPULETI DDS (OWNER)
(737) 434-2436
Entity
Organization
Contact information
Practice address
1401 PHILOMENA ST, AUSTIN, TX 78723-3574
(737) 434-2436
Mailing address
1401 PHILOMENA ST, AUSTIN, TX 78723-3574
(737) 434-2436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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