Vande Matram Periodontology, PA

NPI #1225213176 in Keller, Texas

Provider Information

NPI Number
1225213176
Entity Type
Organization
Organization Name
Vande Matram Periodontology, PA
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jan 9, 2008
Last Updated
Jan 9, 2008

Practice Location

Address
1674 KELLER PKWY
Address 2
# 160
City
Keller
State
Texas
ZIP Code
76248-3751
Phone
(817) 741-4867

Authorized Official

Name
DR. RANDHIR KUMAR KAPOOR, DDS, PHD.
Title
PERIODONTIST
Phone
(817) 741-4867

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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