| Moment Dental | |
|
581 University Blvd Ste 400 Round Rock TX 78665-1068 | |
| (512) 244-3333 | |
| Not Available |
| Full Name | Moment Dental |
|---|---|
| Speciality | Dentist |
| Location | 581 University Blvd Ste 400, Round Rock, Texas |
| Authorized Official Name and Position | Trung Phan (OWNER) |
| Authorized Official Contact | 7036083760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moment Dental 581 University Blvd Ste 400 Round Rock TX 78665-1068 Ph: (512) 244-3333 | Moment Dental 581 University Blvd Ste 400 Round Rock TX 78665-1068 Ph: (512) 244-3333 |
| NPI Number | 1891453718 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891453718 | NPI | - | NPPES |
| 1902391972 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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