Organization
ANDES DENTAL PLLC
Active
Other names
ODESSA FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
KEERTHI MIRYALA DMD (MEMBER)
(832) 762-1914
Entity
Organization
Contact information
Practice address
1157 E 42ND ST STE A, ODESSA, TX 79762-7723
(432) 242-6666
(832) 379-5175
Mailing address
1157 E 42ND ST STE A, ODESSA, TX 79762-7723
(432) 242-6666
(832) 379-5175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
06/04/2024
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