Organization
KB DENTISTRY PLLC
Active
Other names
Dental Express
Organization subpart
No
Provider details
NPI number
Authorized official
ANUSHA KONERU DDS (OWNER)
(405) 212-4549
Entity
Organization
Contact information
Practice address
2712 SW 29TH ST, OKLAHOMA CITY, OK 73119-1806
(405) 212-4549
(405) 212-4548
Mailing address
2712 SW 29TH ST, OKLAHOMA CITY, OK 73119-1806
(405) 212-4549
(405) 212-4548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
06/11/2019
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