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1902447899
SHANTHALA GOWDARA SRINIVASA REDDY
WICHITA FALLS, TX
NPI
1902447899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 35665)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
SHANTHALA GOWDARA SRINIVASA REDDY
3720 CALL FIELD RD STE 100
WICHITA FALLS, TX 76308-2766
Phone number: 940-202-0670
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Mailing Address
SHANTHALA GOWDARA SRINIVASA REDDY
770 FAIRWAY DR APT 2217
COPPELL, TX 75019-6793
Phone number: 407-227-0000
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