Organization
ALKESH C. SURA, DDS PA
Active
Other names
Reveal Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ALKESH SURA DDS (OWNER)
(919) 395-1506
Entity
Organization
Contact information
Practice address
1785 E. WHITESTONE BLVD, SUITE 400, CEDAR PARK, TX 78613-7425
(512) 337-2316
Mailing address
1785 E. WHITESTONE BLVD, SUITE 400, CEDAR PARK, TX 78613-7425
(512) 337-2316
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25724
TX
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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