Divya Venkataraman Dmd Pllc | |
1 Eureka Cir Suite 103 Wichita Falls TX 76308-2929 | |
(940) 691-5027 | |
Not Available |
Full Name | Divya Venkataraman Dmd Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1 Eureka Cir, Wichita Falls, Texas |
Authorized Official Name and Position | Divya Iyer (MANAGING MEMBER) |
Authorized Official Contact | 9406915027 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Divya Venkataraman Dmd Pllc 1 Eureka Cir Suite 103 Wichita Falls TX 76308-2929 Ph: (940) 691-5027 | Divya Venkataraman Dmd Pllc 1 Eureka Cir Suite 103 Wichita Falls TX 76308-2929 Ph: (940) 691-5027 |
NPI Number | 1750701058 |
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Provider Enumeration Date | 04/24/2014 |
Last Update Date | 09/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750701058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Dentistry 4 Kidz, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: #1 Eureka Circle #103, Wichita Falls, TX 76308 Phone: 940-691-5027 Fax: 940-691-5076 | |
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