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1639361538
SUBASH MUTYALA
ROUND ROCK, TX
NPI
1639361538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TX 23436)
Enumeration Date
2007-08-14
Last Update Date
2010-02-16
Business Address
-- SUBASH MUTYALA D.D.S.
1500 A W GRIMES BLVD STE 130
ROUND ROCK, TX 78664-7836
Phone number: 512-238-7300
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Mailing Address
-- SUBASH MUTYALA D.D.S.
1500 A W GRIMES BLVD STE 130
ROUND ROCK, TX 78664-7836
Phone number: 512-238-7300
Copy
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