Gorugantula, Lakshmi Mitreyi

Gorugantula, Lakshmi Mitreyi is an individual health care provider with primary practice located at 13115 Josey Ln , Farmers Branch TX 75234-6350. She recently has 3 registered licenses in different health care specialties including Dental Providers / Oral Medicinist, Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Gorugantula, Lakshmi Mitreyi can be contacted via phone (972) 243-7171.

Contact Information

Primary practice address
13115 Josey Ln Farmers Branch TX 75234-6350
Phone: (972) 243-7171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral Medicinist 125Q00000X 32505 Texas
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X 32505 Texas
Dental Providers / General Practice 1223G0001X 32505 Texas

Profile Details

NPI number 1316366180
LBN Legal business name Gorugantula, Lakshmi Mitreyi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2014
Last updated Nov 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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