Organization
ADUDDELL DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ADUDDELL (MANAGER)
(972) 985-4765
Entity
Organization
Contact information
Practice address
1300 MEDICAL AVE STE 101, PLANO, TX 75075-7798
(972) 985-4765
Mailing address
1300 MEDICAL AVE STE 101, PLANO, TX 75075-7798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D28976
TX
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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