| Valudental Congress Pllc | |
|
111 W William Cannon Dr Ste 202 Austin TX 78745-5657 | |
| (512) 521-7000 | |
| Not Available |
| Full Name | Valudental Congress Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 W William Cannon Dr Ste 202, Austin, Texas |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valudental Congress Pllc 111 W William Cannon Dr Ste 202 Austin TX 78745-5657 Ph: () - | Valudental Congress Pllc 111 W William Cannon Dr Ste 202 Austin TX 78745-5657 Ph: (512) 521-7000 |
| NPI Number | 1023699469 |
|---|---|
| Provider Enumeration Date | 04/17/2021 |
| Last Update Date | 04/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023699469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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