Individual
DR. KAVITHA VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3302 GASTON AVE, SUITE 203, DALLAS, TX 75246-2013
(214) 828-8133
(214) 874-4508
Mailing address
PO BOX 660677, SUITE 203, DALLAS, TX 75266-0677
(214) 828-8133
(214) 874-4508
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
F-23726
TX
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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