JACOB K KRUVILLA is a general practice dentist in Dallas, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JACOB K KRUVILLA NPI is 1861094518. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fundamental Dental.
The provider's business location address is:
11613 N CENTRAL EXPY STE 111A
DALLAS, TX
ZIP 75243-808
Phone: (972) 360-0096
The provider's authorized official is Jacob Jose Kruvilla .
The authorized official title is Owner/doctor and has the following contact phone number (972) 360-0096.
The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/9/2020.