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6425 S Ih 35 100 Austin TX 78744-4271 | |
(512) 788-4801 | |
Not Available |
Full Name | |
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Speciality | Pediatrics |
Location | 6425 S Ih 35, Austin, Texas |
Authorized Official Name and Position | Rebecca R Perez (CREDENTIALER) |
Authorized Official Contact | 5127884801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6705 W Highway 290 C1 Austin TX 78735-8400 Ph: (512) 788-4801 | 6425 S Ih 35 100 Austin TX 78744-4271 Ph: (512) 788-4801 |
NPI Number | 1770712804 |
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Provider Enumeration Date | 07/10/2009 |
Last Update Date | 07/10/2009 |
Identifier | Type | State | Issuer |
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1770712804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | 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 | |