| Kids Dental Smiles | |
|
601 E Whitestone Blvd Suite 400 Cedar Park TX 78613 | |
| (512) 259-2331 | |
| (512) 259-9887 |
| Full Name | Kids Dental Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 601 E Whitestone Blvd, Cedar Park, Texas |
| Authorized Official Name and Position | Anil Prakash Gudapati (PRESIDENT) |
| Authorized Official Contact | 5122592331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Smiles 601 E Whitestone Blvd Suite 400 Cedar Park TX 78613 Ph: (512) 259-2331 | Kids Dental Smiles 601 E Whitestone Blvd Suite 400 Cedar Park TX 78613 Ph: (512) 259-2331 |
| NPI Number | 1255498903 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255498903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21982 (Texas) | Primary |
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