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Organization

HARIKA LALA DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARIKA LALA DDS (OWNER DENTIST)
(469) 247-1332
Entity
Organization

Contact information

Practice address
4021 REGGIS CT, SUITE # 313, FORT WORTH, TX 76155-3957
(469) 247-1332
Mailing address
4021 REGGIS CT, SUITE # 313, FORT WORTH, TX 76155-3957
(469) 247-1332

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29726
TX

Other

Enumeration date
05/16/2015
Last updated
05/16/2015
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