| Carnaval Dental | |
|
8716 Research Blvd # 125 Austin TX 78758-6420 | |
| (512) 454-4646 | |
| (512) 419-0561 |
| Full Name | Carnaval Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8716 Research Blvd, Austin, Texas |
| Authorized Official Name and Position | Michael Kyle Raymond (OWNER/DENTIST) |
| Authorized Official Contact | 5124544646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carnaval Dental 8716 Research Blvd # 125 Austin TX 78758-6420 Ph: (512) 454-4646 | Carnaval Dental 8716 Research Blvd # 125 Austin TX 78758-6420 Ph: (512) 454-4646 |
| NPI Number | 1578896973 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578896973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18034 (Texas) | Primary |
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