Desoto Dental Pllc

NPI #1275904641 in Desoto, Texas

Provider Information

NPI Number: 1275904641
Entity Type: Organization
Organization Name: Desoto Dental Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 12, 2015
Last Updated: Feb 3, 2016

Practice Location

Address: 116 W PARKERVILLE RD
Address 2: STE # 112
City: Desoto
State: Texas
ZIP Code: 75115
Phone: (972) 750-0610

Authorized Official

Name: DR. MAHESH BABU GONDI, D.M.D.
Title: PRESIDENT
Phone: (972) 750-0610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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