Banyan Tree Dental, P.a. | |
11416 Fm 620 Ste N Suite K Austin TX 78726-1165 | |
(512) 382-7123 | |
Not Available |
Full Name | Banyan Tree Dental, P.a. |
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Speciality | Dentist - General Practice |
Location | 11416 Fm 620 Ste N, Austin, Texas |
Authorized Official Name and Position | Michelle Truong (PRESIDENT) |
Authorized Official Contact | 5123827123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banyan Tree Dental, P.a. 11416 Fm 620 Ste N Suite K Austin TX 78726-1165 Ph: (512) 382-7123 | Banyan Tree Dental, P.a. 11416 Fm 620 Ste N Suite K Austin TX 78726-1165 Ph: (512) 382-7123 |
NPI Number | 1689917106 |
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Provider Enumeration Date | 04/03/2013 |
Last Update Date | 04/03/2013 |
Identifier | Type | State | Issuer |
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1689917106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 19143 (Texas) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |