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11420 Bee Caves Rd Ste B150 Austin TX 78738-5526 | |
(512) 263-8500 | |
(512) 263-2866 |
Full Name | |
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Speciality | Dentist - Dental Public Health |
Location | 11420 Bee Caves Rd, Austin, Texas |
Authorized Official Name and Position | Nicole E Latiolais (OWNER) |
Authorized Official Contact | 5122638500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11420 Bee Caves Rd Ste B150 Austin TX 78738-5526 Ph: (512) 263-8500 | 11420 Bee Caves Rd Ste B150 Austin TX 78738-5526 Ph: (512) 263-8500 |
NPI Number | 1881039212 |
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Provider Enumeration Date | 04/29/2013 |
Last Update Date | 04/29/2013 |
Identifier | Type | State | Issuer |
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1881039212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223D0001X | Dentist - Dental Public Health | 24030 (Texas) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |