Organization · NPI-2

101 Dental Professional Corporation

Clinic/Center, Dental · Round Rock, TX

NPI number1851180640
StatusActive
Last updated in NPPESMay 6, 2025

Details

NPI
1851180640
Entity type
Organization (NPI-2)
Legal business name
101 Dental Professional Corporation
Organization subpart
No
Enumeration date
May 6, 2025
Certification date
May 6, 2025
Last updated
May 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001

Phone 737-220-1800 · Fax 737-220-1818

Mailing address

2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001

Phone 737-220-1800 · Fax 737-220-1818

Authorized official

Fu-Ting Chang
Owner
2167129662

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