Organization
LIBRACAP PLLC
Active
Other names
Lone Star Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPIKA MANKOTIA (MEMBER)
(210) 900-7707
Entity
Organization
Contact information
Practice address
825 N TRAVIS ST, LIBERTY, TX 77575-3531
(210) 900-7707
Mailing address
825 N TRAVIS ST, LIBERTY, TX 77575-3531
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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