| Dentalsaurus | |
|
2500 W William Cannon Dr Austin TX 78745-5257 | |
| (512) 662-1455 | |
| Not Available |
| Full Name | Dentalsaurus |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2500 W William Cannon Dr, Austin, Texas |
| Authorized Official Name and Position | Sofia Luque (OWNER) |
| Authorized Official Contact | 5129653355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentalsaurus 11109 Comiso Pala Path Austin TX 78726-2409 Ph: (512) 965-3355 | Dentalsaurus 2500 W William Cannon Dr Austin TX 78745-5257 Ph: (512) 662-1455 |
| NPI Number | 1679841613 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679841613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 24159 (Texas) | Primary |
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