| Enamel Dentistry Domain Pllc | |
|
11005 Burnet Rd Ste 100 Austin TX 78758-4440 | |
| (512) 646-0815 | |
| Not Available |
| Full Name | Enamel Dentistry Domain Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11005 Burnet Rd Ste 100, Austin, Texas |
| Authorized Official Name and Position | Hardik Chodavadia (PARTNER) |
| Authorized Official Contact | 8179886484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enamel Dentistry Domain Pllc 11005 Burnet Rd Ste 100 Austin TX 78758-4440 Ph: () - | Enamel Dentistry Domain Pllc 11005 Burnet Rd Ste 100 Austin TX 78758-4440 Ph: (512) 646-0815 |
| NPI Number | 1891305173 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891305173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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