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9225 W Parmer Ln Ste 104 Austin TX 78717-4694 | |
| (512) 955-5500 | |
| (512) 955-5600 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9225 W Parmer Ln Ste 104, Austin, Texas |
| Authorized Official Name and Position | Elida De La Cruz (OFFICE MANAGER) |
| Authorized Official Contact | 5129555500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9225 W Parmer Ln Ste 104 Austin TX 78717-4694 Ph: (512) 955-5500 | 9225 W Parmer Ln Ste 104 Austin TX 78717-4694 Ph: (512) 955-5500 |
| NPI Number | 1831674795 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831674795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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 | |