Organization
AVERY RANCH FAMILY & COSMETIC DENTISTRY, P.A.
Active
Other names
Riata Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH LOWERY DDS (PRESIDENT)
(512) 658-1553
Entity
Organization
Contact information
Practice address
12545 RIATA VISTA CIRCLE MS 578-AWC, AUSTIN, TX 78727
(512) 526-5126
(512) 583-0699
Mailing address
12545 RIATA VISTA CIRCLE MS 578-AWC, AUSTIN, TX 78727
(512) 526-5126
(512) 583-0699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19588
TX
122300000X
Dentist
20624
TX
122300000X
Dentist
Primary
21373
TX
Other
Enumeration date
02/12/2007
Last updated
08/01/2024
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