| Austin Pediatric Dentistry Pllc | |
|
6618 Sitio Del Rio Blvd Ste B102 Austin TX 78730-1143 | |
| (512) 900-5437 | |
| (512) 857-1042 |
| Full Name | Austin Pediatric Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6618 Sitio Del Rio Blvd, Austin, Texas |
| Authorized Official Name and Position | Joshua Lucas (CFO) |
| Authorized Official Contact | 5128872319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Pediatric Dentistry Pllc 6618 Sitio Del Rio Blvd Ste B102 Austin TX 78730-1143 Ph: (512) 900-5437 | Austin Pediatric Dentistry Pllc 6618 Sitio Del Rio Blvd Ste B102 Austin TX 78730-1143 Ph: (512) 900-5437 |
| NPI Number | 1518383769 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518383769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 29246 (Texas) | Primary |
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