Kunduru Dental Pllc

NPI #1629598586 in Tyler, Texas

Provider Information

NPI Number: 1629598586
Entity Type: Organization
Organization Name: Kunduru Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 22, 2017
Last Updated: Jun 22, 2017

Practice Location

Address: 4164 S BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75701-8719
Phone: (903) 939-0703

Authorized Official

Name: HEMANTH KUNDURU
Title: OWNER
Phone: (315) 454-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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