Treaty Oak Dental, Pllc | |
2905 San Gabriel Street Suite 202 Austin TX 78705-3539 | |
(512) 478-4411 | |
(511) 247-8006 |
Full Name | Treaty Oak Dental, Pllc |
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Speciality | Dentist |
Location | 2905 San Gabriel Street Suite 202, Austin, Texas |
Authorized Official Name and Position | Bruce Walter Jay (MEMBER) |
Authorized Official Contact | 5124784411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Treaty Oak Dental, Pllc 2905 San Gabriel Street Suite 202 Austin TX 78705-3539 Ph: (512) 478-4411 | Treaty Oak Dental, Pllc 2905 San Gabriel Street Suite 202 Austin TX 78705-3539 Ph: (512) 478-4411 |
NPI Number | 1215436027 |
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Provider Enumeration Date | 02/07/2018 |
Last Update Date | 07/10/2019 |
Identifier | Type | State | Issuer |
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1215436027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 32670 (Texas) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |