Groovy Molar, P.L.L.C.
Dentist, Pediatric Dentistry in Austin, TX. Organization (NPI-2).
NPI number1891014239
StatusActive
Last updated in NPPESMay 25, 2010
Details
- NPI
- 1891014239
- Entity type
- Organization (NPI-2)
- Legal business name
- Groovy Molar, P.L.L.C.
- Organization subpart
- No
- Enumeration date
- May 25, 2010
- Last updated
- May 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 21128 | TX | Yes |
Other names
- Groovy Molar Pediatric Dental Care (Doing Business As)
Practice location
3410 Far West BlvdSuite 310
Austin, TX 78731-3194
Phone 512-810-1378
Mailing address
3410 Far West BlvdSuite 310
Austin, TX 78731-3194
Phone 512-810-1378
Authorized official
Brad C Singleton
Owner
5128101378
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