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Organization
TEXAN TEETH DENTAL PLLC
Active
Organization
TEXAN TEETH DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANUJA KULARATNE DDS (OWNER)
(512) 593-6342
Entity
Organization
Contact information
Practice address
1504 AQUARENA SPRINGS DR STE 110, SAN MARCOS, TX 78666-7741
(830) 339-2007
Mailing address
10500 LAKELINE MALL DR, AUSTIN, TX 78717-1113
(512) 593-6342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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