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Organization

CITI DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAVANYA INAMPUDI DMD (DENTIST)
(214) 317-1120
Entity
Organization

Contact information

Practice address
655 WEST ILLINOIS AVE, SUITE #1065, DALLAS, TX 75224
(214) 943-2484
(214) 975-4811
Mailing address
5729 LEBANON RD, SUITE 144-151, FRISCO, TX 75034-7260

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/14/2010
Last updated
12/13/2010
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