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Individual

ANIMESH BHATTIPROLU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
937 FM 1821, K, MINERAL WELLS, TX 76067-9133
(812) 239-0937
Mailing address
937 FM 1821, K, MINERAL WELLS, TX 76067-9133

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30373
TX

Other

Enumeration date
08/05/2014
Last updated
08/05/2014
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