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1468 E Whitestone Blvd Suite 500 Cedar Park TX 78613-9094 | |
| (512) 337-2974 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1468 E Whitestone Blvd, Cedar Park, Texas |
| Authorized Official Name and Position | Jennifer Hoelscher (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1468 E Whitestone Blvd Suite 500 Cedar Park TX 78613-9094 Ph: (512) 337-2974 | 1468 E Whitestone Blvd Suite 500 Cedar Park TX 78613-9094 Ph: (512) 337-2974 |
| NPI Number | 1023439064 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023439064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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