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Organization
LAVU DENTAL P.C.
Active
Organization
LAVU DENTAL P.C.
Active
Other names
Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHMA LAVU DDS (PRESIDENT/DENTIST)
(817) 966-9554
Entity
Organization
Contact information
Practice address
6924 SOUTH FWY, FORT WORTH, TX 76134-3800
(817) 293-7431
(817) 293-3848
Mailing address
3021 ROLLING WOOD LN, KELLER, TX 76248-0365
(817) 788-0776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24206
TX
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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