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Organization

DATTA, LLC

Active
Other names
Sonrisa Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
INDRAJIT DATTA DDS (OWNER)
(972) 282-9100
Entity
Organization

Contact information

Practice address
1625 S BELT LINE RD, SUITE 100, GRAND PRAIRIE, TX 75051-3309
(972) 282-9100
(214) 295-9782
Mailing address
1625 S BELT LINE RD, SUITE 100, GRAND PRAIRIE, TX 75051-3309
(972) 282-9100
(214) 295-9782

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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