| Greatgrins | |
|
5114 Balcones Woods Dr Austin TX 78759-5273 | |
| (512) 346-2272 | |
| Not Available |
| Full Name | Greatgrins |
|---|---|
| Speciality | Dentist |
| Location | 5114 Balcones Woods Dr, Austin, Texas |
| Authorized Official Name and Position | Kevin Deutsch (PRESIDENT) |
| Authorized Official Contact | 5124528262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greatgrins 5114 Balcones Woods Dr Austin TX 78759-5273 | Greatgrins 5114 Balcones Woods Dr Austin TX 78759-5273 Ph: (512) 346-2272 |
| NPI Number | 1225427727 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225427727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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