Organization
DANTAM DENTAL PLLC
Active
Other names
SHINESTAR DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOWJANYA BASIREDDYGARI DMD (PRESIDENT/DENTIST)
(703) 869-1428
Entity
Organization
Contact information
Practice address
15801 ROLATER RD, SUITE 202, FRISCO, TX 75035
(469) 353-6886
(469) 353-6883
Mailing address
10914 MANUEL ST, FRISCO, TX 75035-1435
(703) 869-1428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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