| Avery Orthodontics Pa | |
|
12171 W Parmer Lane Suite 102 Cedar Park TX 78613 | |
| (512) 260-0084 | |
| (512) 260-0353 |
| Full Name | Avery Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12171 W Parmer Lane Suite 102, Cedar Park, Texas |
| Authorized Official Name and Position | Barbara Gail O'donnell (ORTHODONTIST OFFICER OF PA) |
| Authorized Official Contact | 5122600084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avery Orthodontics Pa 12171 W Parmer Lane Suite 102 Cedar Park TX 78613 Ph: (512) 260-0084 | Avery Orthodontics Pa 12171 W Parmer Lane Suite 102 Cedar Park TX 78613 Ph: (512) 260-0084 |
| NPI Number | 1881712198 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881712198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 18829 (Texas) | Primary |
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