| Green Apple Pediatric Dentistry, Pllc | |
|
11601 Us Hwy 290 West Suite 105 Austin TX 78737 | |
| (512) 917-4550 | |
| Not Available |
| Full Name | Green Apple Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11601 Us Hwy 290 West, Austin, Texas |
| Authorized Official Name and Position | Maria Evelina Guerrero (PEDIATRIC DENTIST/MANAGING MEMBER) |
| Authorized Official Contact | 2102871535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Apple Pediatric Dentistry, Pllc 904 West Ave Suite 203 Austin TX 78701-2236 Ph: (210) 287-1535 | Green Apple Pediatric Dentistry, Pllc 11601 Us Hwy 290 West Suite 105 Austin TX 78737 Ph: (512) 917-4550 |
| NPI Number | 1972902427 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972902427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 24128 (Texas) | Primary |
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