Organization
ADMIRE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRI ARAVIND THATIKONDA DMD (DENTIST)
(630) 347-3417
Entity
Organization
Contact information
Practice address
17462 NORTHWEST FWY, JERSEY VILLAGE, TX 77040-1002
(713) 244-5950
Mailing address
2213 PADRON PL, HOUSTON, TX 77091-4429
(630) 347-3417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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