Tooth Barn LLC
NPI #1639988256 in Round Rock, Texas
Provider Information
- NPI Number
- 1639988256
- Entity Type
- Organization
- Organization Name
- Tooth Barn LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 7, 2025
- Last Updated
- Jan 15, 2025
Practice Location
- Address
- 2261 GATTIS SCHOOL RD STE 300
- City
- Round Rock
- State
- Texas
- ZIP Code
- 78664-2886
- Phone
- (512) 361-0696
Authorized Official
- Name
- MRS. RAJITA KODALI KANURU, DDS
- Title
- DENTIST/OWNER
- Phone
- (512) 361-0696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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