Organization
D4C OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA PERKINS (ONBOARDING SPECIALIST)
(770) 692-1000
Entity
Organization
Contact information
Practice address
14058 BEE CAVE PKWY STE B, AUSTIN, TX 78738-7144
(512) 402-9996
Mailing address
505 E HUNTLAND DR, AUSTIN, TX 78752-3717
(512) 276-4444
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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