Organization
CEDAR SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPA NAIK DDS (OWNER)
(512) 236-5111
Entity
Organization
Contact information
Practice address
13625 RONALD W REAGAN BLVD BLDG 8-100, CEDAR PARK, TX 78613-2077
(512) 236-5111
(512) 528-5436
Mailing address
13625 RONALD W REAGAN BLVD BLDG 8-100, CEDAR PARK, TX 78613-2077
(512) 236-5111
(512) 528-5436
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214313310
—
TX
Enumeration date
07/01/2021
Last updated
07/23/2021
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