# DEKOW DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bravo Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831767383
- **Authorized official:** MATTHEW DEKOW DMD (DENTIST)
- **Authorized official phone:** (512) 537-4892

## Contact information

- **Practice address:** 4460 FM 1626 STE 200, KYLE, TX 78640
- **Practice address phone:** (512) 537-4892
- **Mailing address:** 4460 FM 1626, SUITE 200, KYLE, TX 78640
- **Mailing address phone:** (512) 537-4892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2021
- **Last updated:** 09/29/2021