Guru Datta Pllc

NPI #1295514651 in Watauga, Texas

Provider Information

NPI Number: 1295514651
Entity Type: Organization
Organization Name: Guru Datta Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 25, 2023
Last Updated: Oct 15, 2023

Practice Location

Address: 6500 DENTON HWY STE B1
City: Watauga
State: Texas
ZIP Code: 76148-2526
Phone: (817) 428-4005

Authorized Official

Name: DR. MANJUSHA TUMMALA, DDS
Title: GENERAL DENTIST
Phone: (848) 391-6885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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