| Pflugerville Periodontics | |
|
2911 A W Grimes Blvd Pflugerville TX 78660-5458 | |
| (512) 990-8550 | |
| Not Available |
| Full Name | Pflugerville Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2911 A W Grimes Blvd, Pflugerville, Texas |
| Authorized Official Name and Position | Jonathan Callia (SHAREHOLDER) |
| Authorized Official Contact | 5129908550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pflugerville Periodontics 2911 A W Grimes Blvd Pflugerville TX 78660-5458 Ph: () - | Pflugerville Periodontics 2911 A W Grimes Blvd Pflugerville TX 78660-5458 Ph: (512) 990-8550 |
| NPI Number | 1255842159 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255842159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 20343 (Texas) | Primary |
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