Dantam Dental Pllc

NPI #1942996012 in Frisco, Texas

Provider Information

NPI Number: 1942996012
Entity Type: Organization
Organization Name: Dantam Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 12, 2023
Last Updated: Apr 12, 2023

Practice Location

Address: 15801 ROLATER RD
Address 2: SUITE 202
City: Frisco
State: Texas
ZIP Code: 75035
Phone: (469) 353-6886

Authorized Official

Name: DR. SOWJANYA BASIREDDYGARI, DMD
Title: PRESIDENT/DENTIST
Phone: (703) 869-1428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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