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NPI Code Detail

MEDICARE: BUDA FAMILY DENTISTRY PLLC

MEDICARE: BUDA FAMILY DENTISTRY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1285119057
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUDA FAMILY DENTISTRY PLLC
Provider Business Mailing Address
First Line : 3420B FM967
Second Line : STEB-105
City : BUDA
State : TX
Zip : 78610
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3420B FM967
Second Line : STEB-105
City : BUDA
State : TX
Zip : 78610-7861
Country : US
Telephone Number : 512-810-0714
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. PAVITHRA SWAMI
Credential : DDS
Telephone Number : 512-810-0714
Provider Enumeration Date : 09/27/2018
Last Update Date : 09/27/2018

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Directions to “BUDA FAMILY DENTISTRY PLLC ” Practice Location

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