Organization
KLEEN DENTAL PLLC
Active
Other names
Harbor Point Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDYAVATHI KONEGOWDA (OWNER DENTIST)
(248) 495-3487
Entity
Organization
Contact information
Practice address
630 W INTERSTATE 30 STE 610, GARLAND, TX 75043-5799
(972) 226-7600
Mailing address
1076 ARCHES PARK DR, ALLEN, TX 75013-5649
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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