Individual
HAREESHA VANUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4116 S CARRIER PKWY STE 320, GRAND PRAIRIE, TX 75052-3243
(972) 262-5593
Mailing address
4116 S CARRIER PKWY STE 320, GRAND PRAIRIE, TX 75052-3243
(972) 262-5593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36397
TX
1223G0001X
General Practice Dentistry
36397
TX
Other
Enumeration date
07/29/2020
Last updated
10/30/2025
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