| Austin Dental Westlake Pllc | |
|
8825 Fm 2244 Rd Ste E Austin TX 78746-4720 | |
| (512) 263-8332 | |
| Not Available |
| Full Name | Austin Dental Westlake Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8825 Fm 2244 Rd Ste E, Austin, Texas |
| Authorized Official Name and Position | Destina Olivares (BUSINESS OPERATIONS MANAGER) |
| Authorized Official Contact | 5127313895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Dental Westlake Pllc 8825 Bee Caves Rd Ste E Austin TX 78746-4720 Ph: (512) 263-8332 | Austin Dental Westlake Pllc 8825 Fm 2244 Rd Ste E Austin TX 78746-4720 Ph: (512) 263-8332 |
| NPI Number | 1598401598 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598401598 | NPI | - | NPPES |
| 1780318337 | Other | TX | INDIVIDUAL |
| 1528282407 | Other | TX | INDIVIDUAL |
| 1427273382 | Other | TX | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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