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Organization
SIMPLE DENTIST LEWISVILLE PLLC
Active
Organization
SIMPLE DENTIST LEWISVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMA KISHORE CHAPALA DDS (OWNER)
(917) 376-4408
Entity
Organization
Contact information
Practice address
1079 W ROUND GROVE, 800, LEWISVILLE, TX 75067
(917) 376-4408
Mailing address
817 CALCOT DRIVE, COPPELL, TX 75019
(917) 376-4408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26470
TX
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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