| Austin Elite Dental, Pllc | |
|
15004 Avery Ranch Blvd, Bldg B Suite 100 Austin TX 78717 | |
| (512) 866-3800 | |
| Not Available |
| Full Name | Austin Elite Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15004 Avery Ranch Blvd, Bldg B Suite 100, Austin, Texas |
| Authorized Official Name and Position | Elizabeth Lowery (PRESIDENT) |
| Authorized Official Contact | 5126581553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Elite Dental, Pllc 15004 Avery Ranch Blvd Bldg B Ste 100 Austin TX 78717-3937 Ph: (512) 658-1553 | Austin Elite Dental, Pllc 15004 Avery Ranch Blvd, Bldg B Suite 100 Austin TX 78717 Ph: (512) 866-3800 |
| NPI Number | 1457193351 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 07/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457193351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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