| Cedar Park Dental & Braces | |
|
115 S Lakeline Blvd Ste 200 Cedar Park TX 78613-2762 | |
| (512) 640-3360 | |
| Not Available |
| Full Name | Cedar Park Dental & Braces |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 115 S Lakeline Blvd Ste 200, Cedar Park, Texas |
| Authorized Official Name and Position | Bryan Stimmler (OWNER) |
| Authorized Official Contact | 5124101436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Park Dental & Braces 115 S Lakeline Blvd Ste 200 Cedar Park TX 78613-2762 Ph: (512) 640-3360 | Cedar Park Dental & Braces 115 S Lakeline Blvd Ste 200 Cedar Park TX 78613-2762 Ph: (512) 640-3360 |
| NPI Number | 1376164251 |
|---|---|
| Provider Enumeration Date | 05/01/2020 |
| Last Update Date | 07/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376164251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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