| Pediatric Dental Professionals | |
|
9015 Mountain Ridge Dr Ste 320 Austin TX 78759-7370 | |
| (512) 346-9771 | |
| (512) 343-8111 |
| Full Name | Pediatric Dental Professionals |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9015 Mountain Ridge Dr, Austin, Texas |
| Authorized Official Name and Position | Danny Dawson Watts (PRESIDENT) |
| Authorized Official Contact | 5123469771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Professionals 9015 Mountain Ridge Dr Ste 320 Austin TX 78759-7370 Ph: (512) 346-9771 | Pediatric Dental Professionals 9015 Mountain Ridge Dr Ste 320 Austin TX 78759-7370 Ph: (512) 346-9771 |
| NPI Number | 1467450288 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467450288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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