Family Tree Dental Group One Pllc
NPI #1083970792 in Round Rock, Texas
Provider Information
- NPI Number
- 1083970792
- Entity Type
- Organization
- Organization Name
- Family Tree Dental Group One Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 6, 2012
- Last Updated
- Apr 6, 2012
Practice Location
- Address
- 200 N RED BUD LN
- City
- Round Rock
- State
- Texas
- ZIP Code
- 78665-8904
- Phone
- (512) 310-5999
Authorized Official
- Name
- JESSICA LEE AZUA
- Title
- OFFICE MANAGER
- Phone
- (512) 310-5999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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