| Palm Valley Dental | |
|
505 E Palm Valley Blvd Ste 110 Round Rock TX 78664-3042 | |
| (512) 255-6197 | |
| (512) 964-4280 |
| Full Name | Palm Valley Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 505 E Palm Valley Blvd Ste 110, Round Rock, Texas |
| Authorized Official Name and Position | Jennifer Hoelscher (CREDENTIALING/INSURANCE) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Valley Dental 505 E Palm Valley Blvd Ste 110 Round Rock TX 78664-3042 Ph: (512) 255-6197 | Palm Valley Dental 505 E Palm Valley Blvd Ste 110 Round Rock TX 78664-3042 Ph: (512) 255-6197 |
| NPI Number | 1295011765 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295011765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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