Organization
CENTER OF COSMETICS AND GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEJAS PATEL D.D.S. (OWNER)
(512) 263-8337
Entity
Organization
Contact information
Practice address
1213 RR 620 S, SUITE 205, LAKEWAY, TX 78734-6340
(512) 263-8337
(512) 402-9558
Mailing address
1213 RR 620 S, SUITE 205, LAKEWAY, TX 78734-6340
(512) 263-8337
(512) 402-9558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20997
TX
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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