Organization
OAK CLIFF CHILDRENS DENTIST PLLC
Active
Other names
Oak Cliff Childrens Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNEETHA BOPPANA D.D.S. (MANAGING MEMBER)
(214) 390-9960
Entity
Organization
Contact information
Practice address
400 N ZANG BLVD, STE 100, DALLAS, TX 75208-4447
(214) 390-9960
(214) 390-9961
Mailing address
400 N ZANG BLVD, STE 100, DALLAS, TX 75208-4447
(214) 390-9960
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22791
TX
Other
Enumeration date
03/22/2011
Last updated
03/20/2012
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