| Family Tree Dental Group One Pllc | |
|
200 N Red Bud Ln Round Rock TX 78665-8904 | |
| (512) 310-5999 | |
| (512) 341-9950 |
| Full Name | Family Tree Dental Group One Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 N Red Bud Ln, Round Rock, Texas |
| Authorized Official Name and Position | Jessica Lee Azua (OFFICE MANAGER) |
| Authorized Official Contact | 5123105999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Tree Dental Group One Pllc 200 N Red Bud Ln Round Rock TX 78665-8904 Ph: (512) 310-5999 | Family Tree Dental Group One Pllc 200 N Red Bud Ln Round Rock TX 78665-8904 Ph: (512) 310-5999 |
| NPI Number | 1083970792 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083970792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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