| Laurel Dental Tx Pllc | |
|
10824 E Crystal Falls Pkwy # 303 Leander TX 78641-4300 | |
| (801) 598-9676 | |
| Not Available |
| Full Name | Laurel Dental Tx Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10824 E Crystal Falls Pkwy # 303, Leander, Texas |
| Authorized Official Name and Position | Aliisha Choucair (MANAGING MEMBER) |
| Authorized Official Contact | 5129001720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Dental Tx Pllc 10824 E Crystal Falls Pkwy # 303 Leander TX 78641-4300 Ph: (512) 900-1720 | Laurel Dental Tx Pllc 10824 E Crystal Falls Pkwy # 303 Leander TX 78641-4300 Ph: (801) 598-9676 |
| NPI Number | 1174139190 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174139190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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