Organization
KLA DR PLLC
Active
Other names
Dental Resort
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ADUDDELL DDS (OWNER, PRESIDENT)
(972) 824-1752
Entity
Organization
Contact information
Practice address
2100 DALLAS PKWY STE 120, PLANO, TX 75093-4394
(972) 824-1752
Mailing address
1121 GRASSMERE DR, RICHARDSON, TX 75080-2910
(972) 824-1752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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