| Carus Dental Pc | |
|
12201 Renfert Way Ste 345 Austin TX 78758-5366 | |
| (512) 836-3074 | |
| (512) 836-3252 |
| Full Name | Carus Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12201 Renfert Way Ste 345, Austin, Texas |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carus Dental Pc 12201 Renfert Way Ste 345 Austin TX 78758-5366 Ph: (512) 836-3074 | Carus Dental Pc 12201 Renfert Way Ste 345 Austin TX 78758-5366 Ph: (512) 836-3074 |
| NPI Number | 1942952098 |
|---|---|
| Provider Enumeration Date | 01/20/2022 |
| Last Update Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942952098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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