Organization
CHASE OAKS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVANYA RUDRAPATNA DMD (DR)
(469) 626-0131
Entity
Organization
Contact information
Practice address
280 LEGACY DR STE 105, PLANO, TX 75023-2314
(469) 626-0131
(972) 867-4396
Mailing address
280 LEGACY DR STE 105, PLANO, TX 75023-2314
(469) 626-0131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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