| Tlc Pediatric Dentistry PLLC | |
|
4701 183a Toll Rd. Suite C Cedar Park TX 78613 | |
| (989) 385-0833 | |
| Not Available |
| Full Name | Tlc Pediatric Dentistry PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4701 183a Toll Rd., Cedar Park, Texas |
| Authorized Official Name and Position | Lauren-nikko Lee (SECRETARY) |
| Authorized Official Contact | 9893850833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Pediatric Dentistry PLLC 3815 Gaines Ct Austin TX 78735-6489 | Tlc Pediatric Dentistry PLLC 4701 183a Toll Rd. Suite C Cedar Park TX 78613 Ph: (989) 385-0833 |
| NPI Number | 1679981203 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679981203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 27888 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 27923 (Texas) | Secondary |
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