Individual
BEVERLY KUMARI BALASURIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 W FM 544 STE 930, WYLIE, TX 75098-9429
(972) 915-0484
Mailing address
WOODBRIDGE DENTAL GROUP AND ORTHODONTICS, 3360 FM-544 W STE 930, WYLIE, TX 75098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41477
TX
Other
Enumeration date
03/14/2024
Last updated
07/24/2025
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