| Dental Health Associates Of Texas, Pc | |
|
16560 N Rm 620 Rd., Suite 104 Round Rock TX 78681 | |
| (512) 337-1431 | |
| Not Available |
| Full Name | Dental Health Associates Of Texas, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16560 N Rm 620 Rd., Suite 104, Round Rock, Texas |
| Authorized Official Name and Position | Jean Cornell (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Associates Of Texas, Pc 16560 N Rm 620 Rd., Suite 104 Round Rock TX 78681 Ph: (512) 337-1431 | Dental Health Associates Of Texas, Pc 16560 N Rm 620 Rd., Suite 104 Round Rock TX 78681 Ph: (512) 337-1431 |
| NPI Number | 1508272519 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508272519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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