Capital City Smiles, Pllc | |
7320 N Mo Pac Expy Ste 200 Austin TX 78731-2309 | |
(512) 345-5885 | |
Not Available |
Full Name | Capital City Smiles, Pllc |
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Speciality | Dentist - Prosthodontics |
Location | 7320 N Mo Pac Expy Ste 200, Austin, Texas |
Authorized Official Name and Position | Samantha T Truong (OWNER) |
Authorized Official Contact | 5123455885 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Capital City Smiles, Pllc 7320 N Mo Pac Expy Ste 200 Austin TX 78731-2309 Ph: (512) 345-5885 | Capital City Smiles, Pllc 7320 N Mo Pac Expy Ste 200 Austin TX 78731-2309 Ph: (512) 345-5885 |
NPI Number | 1912409103 |
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Provider Enumeration Date | 03/02/2018 |
Last Update Date | 03/02/2018 |
Identifier | Type | State | Issuer |
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1912409103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 32900 (Texas) | Secondary |
1223P0700X | Dentist - Prosthodontics | 32900 (Texas) | Primary |
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