| Wellness Dental,p.c. | |
|
9828 Great Hills Trl #305 Austin TX 78759-6391 | |
| (521) 535-5257 | |
| Not Available |
| Full Name | Wellness Dental,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 9828 Great Hills Trl, Austin, Texas |
| Authorized Official Name and Position | Francisca Gbie Giple-johnson (DENTIST/OWNER) |
| Authorized Official Contact | 5125355257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Dental,p.c. 9828 Great Hills Trl #305 Austin TX 78759-6391 Ph: (521) 535-5257 | Wellness Dental,p.c. 9828 Great Hills Trl #305 Austin TX 78759-6391 Ph: (521) 535-5257 |
| NPI Number | 1053656686 |
|---|---|
| Provider Enumeration Date | 12/08/2012 |
| Last Update Date | 12/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053656686 | NPI | - | NPPES |
| 191265102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24200 (Texas) | Primary |
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