Organization
IMPLANTS & GUMCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUMAR T VADIVEL (OWNER)
(214) 731-0123
Entity
Organization
Contact information
Practice address
1500 W HEBRON PKWY STE 108, CARROLLTON, TX 75010-6531
(214) 731-0123
(214) 731-1122
Mailing address
1500 W HEBRON PKWY STE 108, CARROLLTON, TX 75010-6531
(214) 731-0123
(214) 731-1122
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21292
TX
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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