| Balcones Dental | |
|
6500 N Mo Pac Expy Ste 2103 Austin TX 78731-3282 | |
| (512) 346-3427 | |
| Not Available |
| Full Name | Balcones Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6500 N Mo Pac Expy Ste 2103, Austin, Texas |
| Authorized Official Name and Position | Lisa Lunderman (CLINICAL ADMINISTRATOR) |
| Authorized Official Contact | 5123463427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balcones Dental 6500 N Mo Pac Expy Ste 2103 Austin TX 78731-3282 Ph: () - | Balcones Dental 6500 N Mo Pac Expy Ste 2103 Austin TX 78731-3282 Ph: (512) 346-3427 |
| NPI Number | 1275095770 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 04/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275095770 | NPI | - | NPPES |
| 1407338874 | Other | TX | PPO |
| 1326489576 | Other | TX | PPO |
| 1841417466 | Other | TX | PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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