Organization
OAK CREEK CORPORATION
Active
Other names
Mayfield Ranch Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
(203) 215-4687
Entity
Organization
Contact information
Practice address
3100 FM 1431 STE 500, ROUND ROCK, TX 78681-1158
(512) 956-5656
(512) 649-5454
Mailing address
4300 CROMWELL DR APT 3211, KYLE, TX 78640-6496
(989) 423-4811
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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