| Smile 360 Pllc | |
|
1509 S Lamar Blvd Suite 675 Austin TX 78704 | |
| (512) 444-4746 | |
| (512) 442-4750 |
| Full Name | Smile 360 Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1509 S Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Vincent King Ip (DENTIST) |
| Authorized Official Contact | 5128142084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile 360 Pllc 1509 S. Lamar Blvd #675 Austin TX 78704 Ph: (512) 444-4746 | Smile 360 Pllc 1509 S Lamar Blvd Suite 675 Austin TX 78704 Ph: (512) 444-4746 |
| NPI Number | 1235402371 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235402371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22901 (Texas) | Primary |
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