Individual
ELIZABETH IRMA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
412 LAKE RD, BELTON, TX 76513
(254) 791-5147
Mailing address
505 E HUNTLAND DR STE 340, AUSTIN, TX 78752-3745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34503
TX
1223P0221X
Pediatric Dentistry
Primary
34503
TX
Other
Enumeration date
08/03/2018
Last updated
06/29/2020
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