Organization
SUBASH MUTYALA, P.A.
Active
Other names
Little Explorers Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBASH MUTYALA DDS (OWNER)
(512) 238-7300
Entity
Organization
Contact information
Practice address
1500 A W GRIMES BLVD, ROUND ROCK, TX 78664-7836
(512) 238-7300
(512) 238-7301
Mailing address
1500 A W GRIMES BLVD, ROUND ROCK, TX 78664-7836
(512) 238-7300
(512) 238-7301
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23436
TX
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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