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Organization
KB DENTAL III P.A.
Active
Organization
KB DENTAL III P.A.
Active
Other names
southfork dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINDU MADHAVI KOLLI D.M.D. (PRESIDENT)
(214) 693-8661
Entity
Organization
Contact information
Practice address
8600 N MACARTHUR BLVD, 140, IRVING, TX 75063-4113
(972) 544-4800
Mailing address
408 ORIOLE DR, MURPHY, TX 75094-3887
(972) 544-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21085
TX
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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