| D4c Of Texas Pllc | |
|
14058 Bee Cave Pkwy Ste B Austin TX 78738-7144 | |
| (512) 402-9996 | |
| Not Available |
| Full Name | D4c Of Texas Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14058 Bee Cave Pkwy Ste B, Austin, Texas |
| Authorized Official Name and Position | Monica Perkins (ONBOARDING SPECIALIST) |
| Authorized Official Contact | 7706921000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D4c Of Texas Pllc 505 E Huntland Dr Austin TX 78752-3717 Ph: (512) 276-4444 | D4c Of Texas Pllc 14058 Bee Cave Pkwy Ste B Austin TX 78738-7144 Ph: (512) 402-9996 |
| NPI Number | 1790370542 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790370542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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