|
| |
|
8716 Research Blvd # 125 Austin TX 78758-6420 | |
| (512) 454-4646 | |
| (512) 419-0561 |
| Full Name | |
|---|---|
| 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 |
|---|---|
8716 Research Blvd # 125 Austin TX 78758-6420 Ph: (512) 454-4646 | 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 |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |