Organization
ANKITHA PROFESSIONAL CORPORATION
Active
Other names
Elite Elm Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTHALA GOWDARA SRINIVASA REDDY DDS (GENERAL DENTIST)
(407) 227-0000
Entity
Organization
Contact information
Practice address
305 E ELDORADO PKWY STE 101, LITTLE ELM, TX 75068-5112
(407) 227-0000
Mailing address
3718 PLATTE RIVER TRL, PROSPER, TX 75078-2696
(407) 227-0000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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