| Kids Tooth Team South Austin Pllc | |
|
1217 W Slaughter Ln Ste 140 Austin TX 78748-6916 | |
| (512) 523-4774 | |
| (512) 355-7030 |
| Full Name | Kids Tooth Team South Austin Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1217 W Slaughter Ln Ste 140, Austin, Texas |
| Authorized Official Name and Position | Alexandra Barton Otto (DIRECTOR) |
| Authorized Official Contact | 2392930387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Tooth Team South Austin Pllc 1245 Main St Ste 300 Buda TX 78610-2269 Ph: (512) 523-4774 | Kids Tooth Team South Austin Pllc 1217 W Slaughter Ln Ste 140 Austin TX 78748-6916 Ph: (512) 523-4774 |
| NPI Number | 1972171932 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972171932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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