Organization
CEDAR PARK PERIODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROY REEVES DMD, MS (PRESIDENT)
(512) 528-1400
Entity
Organization
Contact information
Practice address
209 DENALI PASS, SUITE A, CEDAR PARK, TX 78613
(512) 528-1400
(512) 528-1466
Mailing address
209 DENALI PASS, SUITE A, CEDAR PARK, TX 78613
(512) 528-1400
(512) 528-1466
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21653
TX
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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