| Brident Dental Associates Pc | |
|
1201 S Ih 35 Ste 318 Round Rock TX 78664-6651 | |
| (512) 255-4600 | |
| (512) 255-9913 |
| Full Name | Brident Dental Associates Pc |
|---|---|
| Speciality | Dentist |
| Location | 1201 S Ih 35 Ste 318, Round Rock, Texas |
| Authorized Official Name and Position | Preet Takkar (CHIEF INFORMATION OFFICER) |
| Authorized Official Contact | 7145713372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brident Dental Associates Pc 530 S Main St Ste 600 Orange CA 92868-4544 Ph: (714) 480-3000 | Brident Dental Associates Pc 1201 S Ih 35 Ste 318 Round Rock TX 78664-6651 Ph: (512) 255-4600 |
| NPI Number | 1710572920 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710572920 | NPI | - | NPPES |
| G60850 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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