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Organization
FAMILY TREE DENTAL GROUP ONE PLLC
Active
Organization
FAMILY TREE DENTAL GROUP ONE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LEE AZUA (OFFICE MANAGER)
(512) 310-5999
Entity
Organization
Contact information
Practice address
200 N RED BUD LN, ROUND ROCK, TX 78665-8904
(512) 310-5999
(512) 341-9950
Mailing address
200 N RED BUD LN, ROUND ROCK, TX 78665-8904
(512) 310-5999
(512) 341-9950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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