| Green Dentistry of Leander | |
|
13920 Ronald Reagan Blvd Suite 210 Leander TX 78641 | |
| (737) 777-6226 | |
| (737) 777-6220 |
| Full Name | Green Dentistry of Leander |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13920 Ronald Reagan Blvd, Leander, Texas |
| Authorized Official Name and Position | Jihoon Son (DENTIST) |
| Authorized Official Contact | 7736558827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Dentistry of Leander 13920 Ronald Reagan Blvd Suite 210 Leander TX 78641 Ph: (737) 777-6226 | Green Dentistry of Leander 13920 Ronald Reagan Blvd Suite 210 Leander TX 78641 Ph: (737) 777-6226 |
| NPI Number | 1063198620 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063198620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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