Organization
GREENVILLE ENDODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAVITA DODDAMANE DDS, MS (PRESIDENT)
(214) 801-8216
Entity
Organization
Contact information
Practice address
4501 JOE RAMSEY BLVD E STE 210, GREENVILLE, TX 75401-7836
(903) 454-0123
Mailing address
107 SUNCREEK DR STE 120, ALLEN, TX 75013-3672
(903) 454-0123
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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