Individual
DR. KUMAR T. VADIVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FDS RCS, MS
Contact information
Practice address
1500 WEST HEBRON PARKWAY STE 108, CARROLLTON, TX 75010
(214) 731-0123
(214) 731-1122
Mailing address
1500 WEST HEBRON PARKWAY STE 108, CARROLLTON, TX 75010
(214) 731-0123
(214) 731-1122
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21292
TEXAS LICENSE NUMBER
TX
Enumeration date
03/27/2007
Last updated
10/15/2010
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