| Elite Dentistry, Ii Pllc | |
|
5901 Old Fredericksburg Rd Suite D-102 Austin TX 78749-1209 | |
| (512) 892-9900 | |
| (512) 892-9903 |
| Full Name | Elite Dentistry, Ii Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5901 Old Fredericksburg Rd, Austin, Texas |
| Authorized Official Name and Position | Darian Karr (OWNER) |
| Authorized Official Contact | 5128929900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dentistry, Ii Pllc 5901 Old Fredericksburg Rd Suite D-102 Austin TX 78749-1209 Ph: (512) 892-9900 | Elite Dentistry, Ii Pllc 5901 Old Fredericksburg Rd Suite D-102 Austin TX 78749-1209 Ph: (512) 892-9900 |
| NPI Number | 1609299544 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609299544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
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