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2690 E. Hwy 290 Suite 400 Dripping Springs TX 78260 | |
| (512) 607-6500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2690 E. Hwy 290, Dripping Springs, Texas |
| Authorized Official Name and Position | Tristan Cheung (CEO) |
| Authorized Official Contact | 5126076500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2690 E. Hwy 290, Suite 400 Dripping Springs TX 78620 Ph: () - | 2690 E. Hwy 290 Suite 400 Dripping Springs TX 78260 Ph: (512) 607-6500 |
| NPI Number | 1659849180 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659849180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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