Organization
CENTRAL TEXAS PEDIATRIC DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J HERNANDEZ D.D.S. (OWNER)
(830) 693-7044
Entity
Organization
Contact information
Practice address
1201 BARBARA JORDAN BLVD, SUITE 1430, AUSTIN, TX 78723-3083
(512) 474-7575
(512) 474-7583
Mailing address
608 GATEWAY CENTRAL, SUITE 201, MARBLE FALLS, TX 78654-6354
(830) 693-7044
(830) 693-2069
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20081
TX
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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