Organization
TX DDS ALLIANCE - MARBELLA, LLC
Active
Parent organization
TX DDS ALLIANCE - MARBELLA, LLC
Other names
Cedar Park Dental & Braces
Organization subpart
Yes
Provider details
NPI number
Legal business name
TX DDS ALLIANCE - MARBELLA, LLC
Authorized official
DR. BRYAN STIMMLER DDS (OWNER)
(512) 410-1436
Entity
Organization
Contact information
Practice address
115 S LAKELINE BLVD STE 200, CEDAR PARK, TX 78613-2762
(512) 640-3360
Mailing address
115 S LAKELINE BLVD STE 200, CEDAR PARK, TX 78613-2762
(512) 640-3360
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
07/16/2020
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