Individual
AJAY PACHIPULUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 LBJ FWY, DALLAS, TX 75234-7770
(972) 444-8888
(972) 243-6059
Mailing address
3010 LBJ FWY, DALLAS, TX 75234-7770
(972) 444-8888
(972) 243-6059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24794
TX
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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