| 101 Dental Professional Corporation | |
|
2000 Sam Bass Rd Ste 108 Round Rock TX 78681-2001 | |
| (737) 220-1800 | |
| (737) 220-1818 |
| Full Name | 101 Dental Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2000 Sam Bass Rd Ste 108, Round Rock, Texas |
| Authorized Official Name and Position | Fu-ting Chang (OWNER) |
| Authorized Official Contact | 2167129662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 101 Dental Professional Corporation 2000 Sam Bass Rd Ste 108 Round Rock TX 78681-2001 Ph: (737) 220-1800 | 101 Dental Professional Corporation 2000 Sam Bass Rd Ste 108 Round Rock TX 78681-2001 Ph: (737) 220-1800 |
| NPI Number | 1851180640 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851180640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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