Dentrust Dental Texas, P.c.

NPI #1376631101 in Pflugerville, Texas

Provider Information

NPI Number
1376631101
Entity Type
Organization
Organization Name
Dentrust Dental Texas, P.c.
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Oct 10, 2006
Last Updated
Sep 24, 2020

Practice Location

Address
13405 IMMANUEL RD STE B
State
Texas
ZIP Code
78660-8337
Phone
(267) 927-5000

Authorized Official

Name
DAN DECARLO
Title
VP FINANCE
Phone
(267) 362-5869

Specialties & Taxonomy Codes

Specialty
Dentist
Clinic/Center - Multi-SpecialtyMulti-Specialty

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