| Petite Dental | |
|
9001 Brodie Ln Ste C2 Austin TX 78748-5005 | |
| (512) 280-2266 | |
| Not Available |
| Full Name | Petite Dental |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9001 Brodie Ln Ste C2, Austin, Texas |
| Authorized Official Name and Position | Kim Hoang (DENTIST/OWNER) |
| Authorized Official Contact | 5122802266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petite Dental 9001 Brodie Ln Ste C2 Austin TX 78748-5005 Ph: (512) 280-2266 | Petite Dental 9001 Brodie Ln Ste C2 Austin TX 78748-5005 Ph: (512) 280-2266 |
| NPI Number | 1699637520 |
|---|---|
| Provider Enumeration Date | 12/01/2025 |
| Last Update Date | 12/01/2025 |
| Certification Date | 11/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699637520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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