| Red Balloon Family Dentistry-lago Vista | |
|
8008 Bronco Lane Suite B Lago Vista TX 78645 | |
| (512) 277-3311 | |
| (512) 727-7943 |
| Full Name | Red Balloon Family Dentistry-lago Vista |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8008 Bronco Lane, Lago Vista, Texas |
| Authorized Official Name and Position | Taran Bhatia (OWNER/PRESIDENT) |
| Authorized Official Contact | 5128174940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Balloon Family Dentistry-lago Vista 1907 S. Us-183 Suite 206 Leander TX 78641 Ph: (512) 817-4940 | Red Balloon Family Dentistry-lago Vista 8008 Bronco Lane Suite B Lago Vista TX 78645 Ph: (512) 277-3311 |
| NPI Number | 1871923284 |
|---|---|
| Provider Enumeration Date | 11/21/2013 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871923284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10843 (Texas) | Primary |
Lago Vista Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Bronco Ln Ste B, Lago Vista, TX 78645 Phone: 512-277-3311 Fax: 512-727-7943 |