| Rodeo Dental | |
|
2815 Bay West Blvd Horseshoe Bay TX 78657 | |
| (512) 787-1977 | |
| (830) 596-7568 |
| Full Name | Rodeo Dental |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2815 Bay West Blvd, Horseshoe Bay, Texas |
| Authorized Official Name and Position | Philip B Caldwell (ORTHODONTIST) |
| Authorized Official Contact | 5127871977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodeo Dental Po Box 4642 Horseshoe Bay TX 78657-4642 Ph: (512) 787-1977 | Rodeo Dental 2815 Bay West Blvd Horseshoe Bay TX 78657 Ph: (512) 787-1977 |
| NPI Number | 1225435878 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225435878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9192 (Texas) | Primary |
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