Organization
FAMILY TREE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHADWICK RHETT DENMAN D.D.S. (PRACTICE OWNER)
(512) 458-5999
Entity
Organization
Contact information
Practice address
5310 BURNET RD, SUITE 108, AUSTIN, TX 78756-2003
(512) 458-5999
(512) 355-1291
Mailing address
5310 BURNET ROAD, SUITE 108, AUSTIN, TX 78756
(512) 458-5999
(512) 355-1291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22794
TX
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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