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Organization
ROSS DENTAL OF TEXAS PC
Active
Organization
ROSS DENTAL OF TEXAS PC
Active
Other names
Ross Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMANTH HIREGUNTANURU ANKALAPPA DMD (GENERAL DENTIST)
(817) 259-0638
Entity
Organization
Contact information
Practice address
7260 BLUE MOUND RD STE 148, FORT WORTH, TX 76131-8830
(817) 259-0638
Mailing address
8629 DUKE TER APT 7102, FORT WORTH, TX 76244-1679
(617) 671-8302
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31583
TX
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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