| Capital Texas Dental Implants and Periodontics | |
|
10601 Pecan Park Blvd Ste 101 Austin TX 78750-1306 | |
| (512) 580-9330 | |
| Not Available |
| Full Name | Capital Texas Dental Implants and Periodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10601 Pecan Park Blvd Ste 101, Austin, Texas |
| Authorized Official Name and Position | Omar Al Bayati (OWNER) |
| Authorized Official Contact | 6023159589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Texas Dental Implants and Periodontics 10601 Pecan Park Blvd Ste 101 Austin TX 78750-1306 Ph: (512) 580-9330 | Capital Texas Dental Implants and Periodontics 10601 Pecan Park Blvd Ste 101 Austin TX 78750-1306 Ph: (512) 580-9330 |
| NPI Number | 1356032726 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356032726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Secondary |
| 261QD0000X | Clinic/center - Dental | () | Primary |
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