| My Local Texas Dental Practice, Pllc | |
|
11851 Jollyville Rd Ste 201 Austin TX 78759-2350 | |
| (512) 345-8800 | |
| Not Available |
| Full Name | My Local Texas Dental Practice, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11851 Jollyville Rd Ste 201, Austin, Texas |
| Authorized Official Name and Position | Gregory Kostelac (DATA ANALYST) |
| Authorized Official Contact | 7193725605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Local Texas Dental Practice, Pllc 6110 Barnes Rd Colorado Springs CO 80922-2600 Ph: () - | My Local Texas Dental Practice, Pllc 11851 Jollyville Rd Ste 201 Austin TX 78759-2350 Ph: (512) 345-8800 |
| NPI Number | 1811620974 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811620974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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