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920 N Vista Ridge Blvd Suite 700 Cedar Park TX 78613-7637 | |
| (512) 402-7811 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 920 N Vista Ridge Blvd, Cedar Park, Texas |
| Authorized Official Name and Position | Max Kerr (PRESIDENT) |
| Authorized Official Contact | 2103265744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
920 N Vista Ridge Blvd Suite 700 Cedar Park TX 78613-7637 Ph: (512) 402-7811 | 920 N Vista Ridge Blvd Suite 700 Cedar Park TX 78613-7637 Ph: (512) 402-7811 |
| NPI Number | 1447695358 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 05/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447695358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 25202 (Texas) | Primary |
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