Organization
DIVYA VENKATARAMAN DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVYA IYER DMD (MANAGING MEMBER)
(940) 691-5027
Entity
Organization
Contact information
Practice address
1 EUREKA CIR, SUITE 103, WICHITA FALLS, TX 76308-2929
(940) 691-5027
Mailing address
1 EUREKA CIR, SUITE 103, WICHITA FALLS, TX 76308-2929
(940) 691-5027
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
09/05/2024
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