Organization
DENTIST TREE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEENA SEETHARAM SHETTY DMD (PRESIDENT)
(703) 338-9735
Entity
Organization
Contact information
Practice address
921 SOUTH ERBY CAMPBELL BLVD, STE 500, ROYSE CITY, TX 75189
(703) 338-9735
Mailing address
2184 SAXON WAY, ALLEN, TX 75013-5825
(703) 338-9735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26239
TX
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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