Family Tree Dental Group Two Pllc

NPI #1811380710 in Austin, Texas

Provider Information

NPI Number: 1811380710
Entity Type: Organization
Organization Name: Family Tree Dental Group Two Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 17, 2015
Last Updated: Mar 17, 2015

Practice Location

Address: 1008 MOPAC CIRCLE
Address 2: UNITE 101
City: Austin
State: Texas
ZIP Code: 78746
Phone: (513) 458-5999

Authorized Official

Name: CHADWICK DENMAN, DDS
Title: OWNER/ DENTIST
Phone: (513) 458-5999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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