| Plaque Panther Dentistry, Pllc | |
|
201 County Road 138 # 204 Hutto TX 78634-5180 | |
| (512) 569-8067 | |
| Not Available |
| Full Name | Plaque Panther Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 201 County Road 138 # 204, Hutto, Texas |
| Authorized Official Name and Position | Devon Jarrod Harris (CEO/OWNER) |
| Authorized Official Contact | 5125698067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaque Panther Dentistry, Pllc 18916 Elk Horn Dr Pflugerville TX 78660-6083 Ph: (512) 569-8067 | Plaque Panther Dentistry, Pllc 201 County Road 138 # 204 Hutto TX 78634-5180 Ph: (512) 569-8067 |
| NPI Number | 1962264655 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962264655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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