| Liberty Hill Pediatric Dentistry, Pa | |
|
9415 W State Highway 29 Georgetown TX 78628-6914 | |
| (512) 930-4040 | |
| Not Available |
| Full Name | Liberty Hill Pediatric Dentistry, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9415 W State Highway 29, Georgetown, Texas |
| Authorized Official Name and Position | Hamid Yazdi (PRESIDENT/OWNER) |
| Authorized Official Contact | 5122935664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Hill Pediatric Dentistry, Pa 9415 W State Highway 29 Georgetown TX 78628-6914 Ph: (512) 930-4040 | Liberty Hill Pediatric Dentistry, Pa 9415 W State Highway 29 Georgetown TX 78628-6914 Ph: (512) 930-4040 |
| NPI Number | 1184909814 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184909814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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