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Individual

DURGA BUCHUPALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2212 CENTRAL DR STE 101, BEDFORD, TX 76021-5835
(817) 464-8655
(817) 720-9902
Mailing address
940 SARATOGA WAY, COPPELL, TX 75019-6141

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30919
TX

Other

Enumeration date
06/16/2015
Last updated
04/13/2020
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