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Organization
SRIKANTH CHERUKADU DMD PLLC
Active
Organization
SRIKANTH CHERUKADU DMD PLLC
Active
Other names
Dominion Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
SRIKANTH CHERUKADU DMD (OWNER)
(210) 687-1150
Entity
Organization
Contact information
Practice address
4 DOMINION DR STE 250, SAN ANTONIO, TX 78257-1390
(210) 687-1150
Mailing address
4 DOMINION DR STE 250, SAN ANTONIO, TX 78257-1390
(210) 687-1150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27122
TEXAS DENTAL BOARD
TX
Enumeration date
10/17/2017
Last updated
10/17/2017
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