| Dental Salon Pllc | |
|
13625 Ronald W Reagan Blvd Bldg 4 Cedar Park TX 78613-2073 | |
| (512) 980-0089 | |
| Not Available |
| Full Name | Dental Salon Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13625 Ronald W Reagan Blvd Bldg 4, Cedar Park, Texas |
| Authorized Official Name and Position | Ana M Torres (PRESIDENT) |
| Authorized Official Contact | 7735329367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Salon Pllc 16313 Double Eagle Dr Austin TX 78717-3817 Ph: (773) 532-9367 | Dental Salon Pllc 13625 Ronald W Reagan Blvd Bldg 4 Cedar Park TX 78613-2073 Ph: (512) 980-0089 |
| NPI Number | 1427409374 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 09/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427409374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28861 (Texas) | Primary |
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