Organization
GREEN APPLE PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA EVELINA GUERRERO DDS (PEDIATRIC DENTIST/MANAGING MEMBER)
(210) 287-1535
Entity
Organization
Contact information
Practice address
11601 US HWY 290 WEST, SUITE 105, AUSTIN, TX 78737
(512) 917-4550
Mailing address
904 WEST AVE, SUITE 203, AUSTIN, TX 78701-2236
(210) 287-1535
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24128
TX
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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