Organization
AUGUST DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREETHI KUKNOORU DDS (DENTIST)
(408) 981-4640
Entity
Organization
Contact information
Practice address
21O NORTH LAKELINE BLVD, SUITE 300, CEDARPARK, TX 78613
(512) 817-4117
Mailing address
2509 FRIULI CIR, LEANDER, TX 78641-3714
(408) 981-4640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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