| Blvd Dentistry Austin Pllc | |
|
1920 E Riverside Ste A-140 Austin TX 78741 | |
| (972) 869-3789 | |
| Not Available |
| Full Name | Blvd Dentistry Austin Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1920 E Riverside Ste A-140, Austin, Texas |
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blvd Dentistry Austin Pllc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: (972) 869-3789 | Blvd Dentistry Austin Pllc 1920 E Riverside Ste A-140 Austin TX 78741 Ph: (972) 869-3789 |
| NPI Number | 1386048759 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386048759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | 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 | |