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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