Organization
SOFIA LUQUE, DDS, PLLC
Active
Other names
Dentalsaurus
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA LUQUE (OWNER)
(512) 965-3355
Entity
Organization
Contact information
Practice address
2500 W WILLIAM CANNON DR, AUSTIN, TX 78745-5257
(512) 662-1455
Mailing address
11109 COMISO PALA PATH, AUSTIN, TX 78726-2409
(512) 965-3355
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24159
TX
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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