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Organization
KLEEN DENTAL PLLC
Active
Organization
KLEEN DENTAL PLLC
Active
Other names
Harbor Point Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDYAVATHI KONEGOWDA (OWNER DENTIST)
(248) 495-3487
Entity
Organization
Contact information
Practice address
630 W INTERSTATE 30 STE 610, GARLAND, TX 75043-5799
(972) 226-7600
Mailing address
1076 ARCHES PARK DR, ALLEN, TX 75013-5649
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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