| Quinlan Park Dental | |
|
5145 N. Fm 620 Suite G-150 Austin TX 78732 | |
| (512) 619-3514 | |
| Not Available |
| Full Name | Quinlan Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5145 N. Fm 620 Suite G-150, Austin, Texas |
| Authorized Official Name and Position | Sumita Chakraborti (OWNER) |
| Authorized Official Contact | 5126193514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quinlan Park Dental 5145 N. Fm 620 Suite G-150 Austin TX 78732 Ph: () - | Quinlan Park Dental 5145 N. Fm 620 Suite G-150 Austin TX 78732 Ph: (512) 619-3514 |
| NPI Number | 1851667729 |
|---|---|
| Provider Enumeration Date | 03/26/2012 |
| Last Update Date | 03/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851667729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23056 (Texas) | Primary |
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