Pflugerville Periodontics
NPI #1255842159 in Pflugerville, Texas
Provider Information
- NPI Number
- 1255842159
- Entity Type
- Organization
- Organization Name
- Pflugerville Periodontics
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Oct 18, 2017
- Last Updated
- Oct 18, 2017
Practice Location
- Address
- 2911 A W GRIMES BLVD
- City
- Pflugerville
- State
- Texas
- ZIP Code
- 78660-5458
- Phone
- (512) 990-8550
Authorized Official
- Name
- JONATHAN CALLIA, DDS, MS
- Title
- SHAREHOLDER
- Phone
- (512) 990-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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