Individual
KIRTANA VEDIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
715 OLD AUSTIN HWY STE 400, BASTROP, TX 78602-5165
(512) 212-9803
Mailing address
1740 SIENA SUNSET RD, LEANDER, TX 78641-3889
(503) 887-3862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37613
TX
Other
Enumeration date
07/28/2021
Last updated
03/18/2022
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