| Kla Dr Pllc | |
|
2100 Dallas Pkwy Ste 120 Plano TX 75093-4394 | |
| (972) 824-1752 | |
| Not Available |
| Full Name | Kla Dr Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2100 Dallas Pkwy Ste 120, Plano, Texas |
| Authorized Official Name and Position | Kevin Aduddell (OWNER, PRESIDENT) |
| Authorized Official Contact | 9728241752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kla Dr Pllc 1121 Grassmere Dr Richardson TX 75080-2910 Ph: (972) 824-1752 | Kla Dr Pllc 2100 Dallas Pkwy Ste 120 Plano TX 75093-4394 Ph: (972) 824-1752 |
| NPI Number | 1972103240 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972103240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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