Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Beck Commons Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
JEAN CORNELL (CREDENTIALING COORDINATOR)
(217) 540-8329
Entity
Organization
Contact information
Practice address
16560 N RM 620 RD., SUITE 104, ROUND ROCK, TX 78681
(512) 337-1431
Mailing address
16560 N RM 620 RD., SUITE 104, ROUND ROCK, TX 78681
(512) 337-1431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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