# AVERY RANCH FAMILY & COSMETIC DENTISTRY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riata Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114068996
- **Authorized official:** DR. ELIZABETH LOWERY DDS (PRESIDENT)
- **Authorized official phone:** (512) 658-1553

## Contact information

- **Practice address:** 12545 RIATA VISTA CIRCLE MS 578-AWC, AUSTIN, TX 78727
- **Practice address phone:** (512) 526-5126
- **Practice address fax:** (512) 583-0699
- **Mailing address:** 12545 RIATA VISTA CIRCLE MS 578-AWC, AUSTIN, TX 78727
- **Mailing address phone:** (512) 526-5126
- **Mailing address fax:** (512) 583-0699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19588 | TX | — |
| 122300000X | Dentist | 20624 | TX | — |
| 122300000X | Dentist | 21373 | TX | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/01/2024