MEDICARE: DR. MIHAELA ATANASIU D.D.S

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
1	1223G0001X	General Practice Dentistry	28848	TX

General Provider Information

NPI Number	:	1386660330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIHAELA ATANASIU D.D.S

Provider Business Mailing Address
First Line	:	7403 OCONNOR DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5509
Country	:	US
Telephone Number	:	512-651-5090
Fax Number	:	512-310-1268

Provider Business Practice Location Address
First Line	:	7403 OCONNOR DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5509
Country	:	US
Telephone Number	:	512-651-5090
Fax Number	:	512-310-1268

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	06/05/2015

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