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115 S Lakeline Blvd Cedar Park TX 78613 | |
| (210) 326-5744 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 S Lakeline Blvd, Cedar Park, Texas |
| Authorized Official Name and Position | Max Olen Kerr (OWNER) |
| Authorized Official Contact | 2103265744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
115 S Lakeline Blvd Cedar Park TX 78613 Ph: () - | 115 S Lakeline Blvd Cedar Park TX 78613 Ph: (210) 326-5744 |
| NPI Number | 1710425061 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710425061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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