| King Smiles Ii, P.a. | |
|
208 Sendera Bonita Lakeway TX 78734-3951 | |
| (512) 507-8468 | |
| (512) 832-8454 |
| Full Name | King Smiles Ii, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 Sendera Bonita, Lakeway, Texas |
| Authorized Official Name and Position | Julian Foncell Powers (INSURANCE COORD.) |
| Authorized Official Contact | 5128328448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Smiles Ii, P.a. 208 Sendera Bonita Lakeway TX 78734-3951 Ph: (512) 507-8468 | King Smiles Ii, P.a. 208 Sendera Bonita Lakeway TX 78734-3951 Ph: (512) 507-8468 |
| NPI Number | 1063690378 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063690378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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