Organization
CHERRY CREEK DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIHAELA ATANASIU (DENTIST/OWNER)
(773) 746-2368
Entity
Organization
Contact information
Practice address
5700 MANCHACA RD, SUITE 340, AUSTIN, TX 78745-3679
(512) 448-9655
(512) 448-9668
Mailing address
5700 MANCHACA RD, SUITE 340, AUSTIN, TX 78745-3679
(512) 448-9655
(512) 448-9668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28848
TX
Other
Enumeration date
12/12/2008
Last updated
04/22/2014
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