Ffd Round Rock, PLLC
Dentist, General Practice in Round Rock, TX. Organization (NPI-2).
NPI number1336723402
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1336723402
- Entity type
- Organization (NPI-2)
- Legal business name
- Ffd Round Rock, PLLC
- Organization subpart
- No
- Enumeration date
- May 5, 2021
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Forest Family Dentistry And Orthodontics (Doing Business As)
Practice location
2681 Gattis School Rd Ste 270Round Rock, TX 78664-2061
Phone 512-494-4459
Mailing address
2681 Gattis School Rd Ste 270Round Rock, TX 78664-2061
Phone 512-494-4459
Authorized official
Lana Eads
Accounts/Insurance Lead
5127612223
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