| Mary Kate Peters, Dds, Pllc | |
|
507 W 15th St Austin TX 78701-1511 | |
| (512) 478-4411 | |
| (512) 478-0069 |
| Full Name | Mary Kate Peters, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 507 W 15th St, Austin, Texas |
| Authorized Official Name and Position | Mary Katharine Peters (MANAGING MEMBER) |
| Authorized Official Contact | 5124784411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kate Peters, Dds, Pllc 507 W 15th St Austin TX 78701-1511 Ph: (512) 478-4411 | Mary Kate Peters, Dds, Pllc 507 W 15th St Austin TX 78701-1511 Ph: (512) 478-4411 |
| NPI Number | 1255709697 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255709697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22337 (Texas) | Primary |
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