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1912030230
MAIN DENTISTRY, P.A.
LEWISVILLE, TX
NPI
1912030230
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Entity Type
Organization
Authorized Contact
SUJATA BASAWARAJ
President
972-370-1200
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 20290)
Enumeration Date
2007-03-14
Last Update Date
2007-09-24
Business Address
MAIN DENTISTRY, P.A.
4679 STATE HIGHWAY 121 SUITE 109
LEWISVILLE, TX 75056-4010
Phone number: 972-370-1200
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Mailing Address
MAIN DENTISTRY, P.A.
4679 STATE HIGHWAY 121 SUITE 109
LEWISVILLE, TX 75056-4010
Phone number: 972-370-1200
Copy
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