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19368 Ronald Reagan Blvd Suite 150 Leander TX 78641 | |
(737) 843-4226 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 19368 Ronald Reagan Blvd, Leander, Texas |
Authorized Official Name and Position | Zhixin Guan (OWNER) |
Authorized Official Contact | 7378434226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 920050 Dallas TX 75392-0050 Ph: () - | 19368 Ronald Reagan Blvd Suite 150 Leander TX 78641 Ph: (737) 843-4226 |
NPI Number | 1134872088 |
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Provider Enumeration Date | 02/01/2022 |
Last Update Date | 02/25/2022 |
Identifier | Type | State | Issuer |
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1134872088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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