| Tlc Dental, Pllc | |
|
4701 183a Toll Rd Ste A400 Cedar Park TX 78613-0123 | |
| (512) 593-7998 | |
| (512) 717-3396 |
| Full Name | Tlc Dental, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4701 183a Toll Rd Ste A400, Cedar Park, Texas |
| Authorized Official Name and Position | Daniel Crandall Johnson (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 5125937998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Dental, Pllc 4701 183a Toll Rd Ste A400 Cedar Park TX 78613-0123 Ph: (512) 593-7998 | Tlc Dental, Pllc 4701 183a Toll Rd Ste A400 Cedar Park TX 78613-0123 Ph: (512) 593-7998 |
| NPI Number | 1285443705 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285443705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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