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Subash Mutyala, P.a.
Pediatric Dentist in Round Rock, Texas
NPI 1760704944

Subash Mutyala, P.a. is a Pediatric Dentist based in Round Rock, TX and is specialized in Pediatric Dentistry. Subash Mutyala, P.a. practices in Round Rock, TX. The NPI Number for Subash Mutyala, P.a. is 1760704944 and holds a License No. 23436 (Texas).

The current practice location address for Subash Mutyala, P.a. is 1500 A W Grimes Blvd, Round Rock, TX and can be reached out via phone at 512-238-7300 and via fax at 512-238-7301.

Location: 1500 A W Grimes Blvd, Round Rock, TX, 78664-7836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760704944
Provider Name
Subash Mutyala, P.a.
Credential
Provider Entity Type
Organization
Address
1500 A W Grimes Blvd, Round Rock, TX, 78664-7836
Phone Number
512-238-7300
Fax Number
512-238-7301
Provider Enumeration Date
02/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 A W Grimes Blvd
City
Round Rock
State
Texas
Zip
78664-7836
Phone Number
512-238-7300
Fax Number
512-238-7301
person
Provider Business Mailing Address Details
Address
1500 A W Grimes Blvd
City
Round Rock
State
Texas
Zip
78664-7836
Phone Number
512-238-7300
Fax Number
512-238-7301
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
23436 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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