| Butterfly Pediatric Dentistry | |
|
4201 Marathon Blvd Suite 302 Austin TX 78756-3436 | |
| (512) 206-2929 | |
| Not Available |
| Full Name | Butterfly Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4201 Marathon Blvd, Austin, Texas |
| Authorized Official Name and Position | Pooneh Jahadi (OFFICE MANAGER) |
| Authorized Official Contact | 5122062929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Butterfly Pediatric Dentistry 4201 Marathon Blvd Suite 302 Austin TX 78756-3436 Ph: (512) 206-2929 | Butterfly Pediatric Dentistry 4201 Marathon Blvd Suite 302 Austin TX 78756-3436 Ph: (512) 206-2929 |
| NPI Number | 1386800738 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386800738 | NPI | - | NPPES |
| 174364301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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