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Organization
TEXAS LONE STAR DENTAL CENTER PA
Active
Organization
TEXAS LONE STAR DENTAL CENTER PA
Active
Other names
Lone Star Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE OLIVER MILLER JR. DDS (DIRECTOR)
(512) 858-7660
Entity
Organization
Contact information
Practice address
711 HIGHWAY 290 WEST, DRIPPING SPRINGS, TX 78620
(512) 858-7660
(512) 858-7316
Mailing address
711 HIGHWAY 290 WEST, DRIPPING SPRINGS, TX 78620
(512) 858-7660
(512) 858-7316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12598
BCBS
—
Enumeration date
09/27/2006
Last updated
08/22/2020
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