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1972115202
BRIAN J KALLARACKAL
COPPELL, TX
NPI
1972115202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 36576)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
BRIAN J KALLARACKAL DDS
239 ASPENWAY DR
COPPELL, TX 75019-5506
Phone number: 940-337-8970
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Mailing Address
BRIAN J KALLARACKAL DDS
239 ASPENWAY DR
COPPELL, TX 75019-5506
Phone number: 940-337-8970
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