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Lakshmi Mitreyi Gorugantula

Dentist, General Practice in Farmers Branch, TX. Individual provider (NPI-1).

NPI number1316366180
StatusActive
Last updated in NPPESNov 11, 2016

Details

NPI
1316366180
Entity type
Individual (NPI-1)
Name
Lakshmi Mitreyi Gorugantula
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2014
Last updated
Nov 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice32505TXYes
125Q00000X Oral Medicine32505TX
1223X0008X Dentist, Oral and Maxillofacial Radiology32505TX

Practice location

13115 Josey Ln
Farmers Branch, TX 75234-6350

Phone 972-243-7171

Mailing address

4405 Berry Ridge Ln
Frisco, TX 75034-0162

Phone 214-460-7079

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Other General Practice Dentistry providers in Farmers Branch, TX

All 23 General Practice Dentistry providers in Farmers Branch · All 702 providers in Farmers Branch

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