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Organization
IVORY BLISS PC
Active
Organization
IVORY BLISS PC
Active
Other names
Precinct line dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANURADHA VADDINENI (DMD)
(817) 663-0076
Entity
Organization
Contact information
Practice address
6305 PRECINCT LINE RD STE 400, NORTH RICHLAND HILLS, TX 76180-4827
(817) 663-0076
(817) 663-0081
Mailing address
6305 PRECINCT LINE RD STE 400, NORTH RICHLAND HILLS, TX 76180-4827
(817) 663-0076
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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