Individual
POOJA VAJAPEYAM MANTRAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6351 PRESTON RD STE 200, FRISCO, TX 75034-6058
(972) 712-5035
Mailing address
6351 PRESTON RD STE 200, FRISCO, TX 75034-6058
(972) 712-5035
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
38850
TX
Other
Enumeration date
08/02/2016
Last updated
01/14/2025
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