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Organization

ATX PEDO PLLC

Active
Other names
Happy Teeth Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH THERESA DELACRUZ (MANAGER)
(512) 774-7833
Entity
Organization

Contact information

Practice address
1217 W SLAUGHTER LN STE 140, AUSTIN, TX 78748-6577
(512) 643-8900
Mailing address
1217 W SLAUGHTER LN STE 140, AUSTIN, TX 78748-6577
(512) 643-8900

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286329203
TX
Enumeration date
04/17/2019
Last updated
04/17/2019
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