Individual
TARUN MUNDLURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PECOS DENTAL, 801 W 3RD ST, PECOS, TX 79772
(432) 445-3333
Mailing address
PECOS DENTAL, 801 W 3RD ST, PECOS, TX 79772
(432) 445-3333
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
36718
TX
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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