| Total Smile Management Pc | |
|
11149 Research Blvd Suite 270 Austin TX 78759-5279 | |
| (512) 346-1221 | |
| (512) 502-9689 |
| Full Name | Total Smile Management Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11149 Research Blvd, Austin, Texas |
| Authorized Official Name and Position | Albert Milner Tate (OWNER/PRESIDENT) |
| Authorized Official Contact | 5123461221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Smile Management Pc 11149 Research Blvd Suite 270 Austin TX 78759-5279 Ph: (512) 346-1221 | Total Smile Management Pc 11149 Research Blvd Suite 270 Austin TX 78759-5279 Ph: (512) 346-1221 |
| NPI Number | 1851676027 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851676027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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