| Wildflower Orthodontics | |
|
1701 Red Bud Ln #200 Round Rock TX 78664-3835 | |
| (512) 520-7585 | |
| Not Available |
| Full Name | Wildflower Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1701 Red Bud Ln, Round Rock, Texas |
| Authorized Official Name and Position | Joseph Giasi (PRESIDENT OF THE GENERAL PARTNERSHI) |
| Authorized Official Contact | 5125207585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildflower Orthodontics 1701 Red Bud Ln #200 Round Rock TX 78664-3835 Ph: (512) 520-7585 | Wildflower Orthodontics 1701 Red Bud Ln #200 Round Rock TX 78664-3835 Ph: (512) 520-7585 |
| NPI Number | 1255687026 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255687026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22082 (Texas) | Primary |
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