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Organization
RENKUNTLA PLLC
Active
Organization
RENKUNTLA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPESHWAR RENKUNTLA DDS (OWNER)
(817) 989-2832
Entity
Organization
Contact information
Practice address
240 S SAGINAW BLVD, SAGINAW, TX 76179
(817) 989-2832
Mailing address
240 S SAGINAW BLVD, SAGINAW, TX 76179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821403403
NPPES
TX
Enumeration date
07/09/2019
Last updated
07/09/2019
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