| NPI | 1922870690 | 
|---|---|
| Doing Business As | CEDAR PARK PREMIER DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | KAYLA EDWARDS Insurance Coordinator 512-782-0821  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2023-10-26 | 
| Last Update Date | 2023-11-07 |