Odp of Texas Pllc

NPI #1659199727 in Dripping Springs, Texas

Provider Information

NPI Number
1659199727
Entity Type
Organization
Organization Name
Odp of Texas Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
ODP OF TEXAS PLLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Sep 28, 2024
Last Updated
Sep 28, 2024

Practice Location

Address
170 BENNEY LN STE 103
State
Texas
ZIP Code
78620-5566
Phone
(512) 894-3779

Authorized Official

Name
NICOLE D CARIDE
Title
CREDENTIALING
Phone
(470) 207-3264

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice
Dentist - Pediatric DentistryPediatric Dentistry

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