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1396221354
LARA KELLOGG
DALLAS, TX
NPI
1396221354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 34216)
Enumeration Date
2018-07-12
Last Update Date
2021-01-27
Business Address
LARA KELLOGG DDS
3302 GASTON AVE
DALLAS, TX 75246-2013
Phone number: 832-492-6567
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Mailing Address
LARA KELLOGG DDS
545 SEQUOIA ST
ALLEN, TX 75002-3363
Phone number:
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