| Roundrcok Dsg Pllc | |
|
503 E Palm Valley Blvd Suite #120 Round Rock TX 78664-3046 | |
| (512) 271-6591 | |
| Not Available |
| Full Name | Roundrcok Dsg Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 503 E Palm Valley Blvd, Round Rock, Texas |
| Authorized Official Name and Position | Pejman Khosravian (CEO) |
| Authorized Official Contact | 5127226338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roundrcok Dsg Pllc 503 E Palm Valley Blvd Suite #120 Round Rock TX 78664-3046 Ph: (512) 271-6591 | Roundrcok Dsg Pllc 503 E Palm Valley Blvd Suite #120 Round Rock TX 78664-3046 Ph: (512) 271-6591 |
| NPI Number | 1417305863 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417305863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 25904 (Texas) | Primary |
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