Organization
CARUS DENTAL PC
Active
Parent organization
AMERICAN DENTAL PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN DENTAL PARTNERS
Authorized official
DR. MALCOLM RAY SCOTT (PRESIDENT)
(512) 371-1222
Entity
Organization
Contact information
Practice address
1130 COTTONWOOD CREEK TRAIL, BUILDING A., SUITE 2, CEDAR PARK, TX 78613
(512) 690-2368
(512) 690-2370
Mailing address
7517 CAMERON RD, SUITE 107, AUSTIN, TX 78752-2057
(512) 371-1222
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21059
TX
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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