Individual
BRIAN J KALLARACKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
239 ASPENWAY DR, COPPELL, TX 75019-5506
(940) 337-8970
Mailing address
239 ASPENWAY DR, COPPELL, TX 75019-5506
(940) 337-8970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36576
TX
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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