Organization
CENTRAL TEXAS FAMILY DENTISTRY PC
Active
Parent organization
KINGSLAND PROFESSIONAL PROPERTY L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINGSLAND PROFESSIONAL PROPERTY L.L.C.
Authorized official
DR. ROBERT EDWIN SAWYER D.D.S. (PRESIDENT)
(832) 914-0000
Entity
Organization
Contact information
Practice address
1117 RANCH ROAD 1431, KINGSLAND, TX 78639-4055
(325) 388-6021
(325) 388-9991
Mailing address
PO BOX 1606, KINGSLAND, TX 78639-1606
(325) 388-6021
(325) 388-9991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780933374
NPPES
TX
Enumeration date
02/14/2014
Last updated
02/19/2014
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