Lilac Dental Pllc

NPI #1073391728 in Austin, Texas

Provider Information

NPI Number
1073391728
Entity Type
Organization
Organization Name
Lilac Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 14, 2023
Last Updated
Sep 14, 2023

Practice Location

Address
12314 N INTERSTATE 35 STE 110
City
Austin
State
Texas
ZIP Code
78753-1349
Phone
(347) 631-0848

Authorized Official

Name
SUMAN KISHORE KONDRAGUNTA, DDS
Title
MANAGING MEMBER
Phone
(347) 631-0848

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist - General PracticeGeneral Practice

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