Organization
DENISON DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRANATH REDDY (DIRECTOR/OWNER)
(801) 515-0445
Entity
Organization
Contact information
Practice address
3515 WEST FM 120, DENISON, TX 75020
(801) 515-0445
Mailing address
3515 WEST FM 120, DENISON, TX 75020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28186
TX
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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