| Little Explorers Pediatric Dentistry | |
|
1500 A W Grimes Blvd Round Rock TX 78664-7836 | |
| (512) 238-7300 | |
| (512) 238-7301 |
| Full Name | Little Explorers Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1500 A W Grimes Blvd, Round Rock, Texas |
| Authorized Official Name and Position | Subash Mutyala (OWNER) |
| Authorized Official Contact | 5122387300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Explorers Pediatric Dentistry 1500 A W Grimes Blvd Round Rock TX 78664-7836 Ph: (512) 238-7300 | Little Explorers Pediatric Dentistry 1500 A W Grimes Blvd Round Rock TX 78664-7836 Ph: (512) 238-7300 |
| NPI Number | 1760704944 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760704944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 23436 (Texas) | Primary |
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