| Derby Dental Care, Pllc | |
|
3410 Far West Blvd Ste 340 Austin TX 78731-3194 | |
| (512) 795-0128 | |
| (512) 795-8393 |
| Full Name | Derby Dental Care, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3410 Far West Blvd, Austin, Texas |
| Authorized Official Name and Position | Erika L Whitehouse (DENTIST) |
| Authorized Official Contact | 2704851472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derby Dental Care, Pllc 3410 Far West Blvd Ste 340 Austin TX 78731-3194 Ph: (512) 795-0128 | Derby Dental Care, Pllc 3410 Far West Blvd Ste 340 Austin TX 78731-3194 Ph: (512) 795-0128 |
| NPI Number | 1750826608 |
|---|---|
| Provider Enumeration Date | 01/02/2017 |
| Last Update Date | 01/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750826608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29047 (Texas) | Primary |
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