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1447921200
VIJAYA LAKSHMI PAVAN MOLLI
FORT WORTH, TX
NPI
1447921200
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Former Name
VIJAYA LAKSHMI PAVAN KONDRU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: TX 37900)
Enumeration Date
2021-09-22
Last Update Date
2022-02-24
Business Address
Dr. VIJAYA LAKSHMI PAVAN MOLLI DDS
4021 REGGIS CT STE 313
FORT WORTH, TX 76155-3958
Phone number: 817-764-1496
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Mailing Address
Dr. VIJAYA LAKSHMI PAVAN MOLLI DDS
2701 W ROYAL LANE, APT 805
IRVING, TX 75063
Phone number: 817-764-1496
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