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1366086589
UMA DEEPTHI POTLURI
FORT WORTH, TX
NPI
1366086589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 35793)
Enumeration Date
2019-10-31
Last Update Date
2019-10-31
Business Address
UMA DEEPTHI POTLURI
4200 SOUTH FWY
FORT WORTH, TX 76115-1400
Phone number: 682-747-0001
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Mailing Address
UMA DEEPTHI POTLURI
2803 RIVERSIDE PKWY APT 2208
GRAND PRAIRIE, TX 75050-8741
Phone number: 314-269-0871
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