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5901 Old Fredericksburg Rd Ste 102 Austin TX 78749-1209 | |
| (512) 890-9900 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5901 Old Fredericksburg Rd Ste 102, Austin, Texas |
| Authorized Official Name and Position | Michael Le (OWNER/DENTIST) |
| Authorized Official Contact | 5128909900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5901 Old Fredericksburg Rd Ste 102 Austin TX 78749-1209 Ph: (512) 890-9900 | 5901 Old Fredericksburg Rd Ste 102 Austin TX 78749-1209 Ph: (512) 890-9900 |
| NPI Number | 1033607981 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 04/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033607981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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 | |