| Theradontics PLLC | |
|
801 Wells Branch Pkwy, Suite 130 Pflugerville TX 78660 | |
| (512) 887-7816 | |
| Not Available |
| Full Name | Theradontics PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 801 Wells Branch Pkwy, Suite 130, Pflugerville, Texas |
| Authorized Official Name and Position | Giang H Le (OWNER DENTIST) |
| Authorized Official Contact | 9493446516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theradontics PLLC 801 Wells Branch Pkwy, Suite 130 Pflugerville TX 78660 Ph: (512) 887-7816 | Theradontics PLLC 801 Wells Branch Pkwy, Suite 130 Pflugerville TX 78660 Ph: (512) 887-7816 |
| NPI Number | 1669193777 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669193777 | NPI | - | NPPES |
| 34824 | Other | TX | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 1223G0001X | Dentist - General Practice | () | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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