Jacob K Kruvilla
Jacob K Kruvilla is a General Practice Dentistry in Dallas, Texas. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
11613 N Central Expy Ste 111ADallas, TX 75243-3808
Phone: (972) 360-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1861094518 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Kruvilla — Owner/Doctor · (972) 360-0096 |
| Other names | Fundamental Dental |
| NPI enumerated | November 9, 2020 |
| Last updated in NPPES | November 9, 2020 |
| Certification date | November 9, 2020 |
| Mailing address | 11613 N Central Expy Ste 111a, Dallas, TX 75243-3808 |
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