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Geeta Mandavilli
NPI 1811511470 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3080 N Eastman Rd
Longview, TX 75605 - Phone
- (903) 686-0086
- Organisation at this address
- Mhpc Dallas Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 7251 Youree Dr, Shreveport, LA
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- TX, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas