| Leander Periodontica Pa | |
|
2301 Bagdad Rd Ste 201 Cedar Park TX 78613-6501 | |
| (512) 337-2578 | |
| Not Available |
| Full Name | Leander Periodontica Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2301 Bagdad Rd Ste 201, Cedar Park, Texas |
| Authorized Official Name and Position | Jonathan R. Callia (DOCTOR) |
| Authorized Official Contact | 5123372578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leander Periodontica Pa 2301 Bagdad Rd Ste 201 Cedar Park TX 78613-6501 Ph: (512) 337-2578 | Leander Periodontica Pa 2301 Bagdad Rd Ste 201 Cedar Park TX 78613-6501 Ph: (512) 337-2578 |
| NPI Number | 1982155297 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982155297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 20343 (Texas) | Primary |
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