Individual
ANNA UPPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WOLFE NURSERY STREET, 180, STEPHENVILLE, TX 76123
(254) 965-1931
Mailing address
8337 SUMMER PARK DR, FORT WORTH, TX 76123-1991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28989
TX
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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