Individual provider · Type 1 NPI

Danna Radcliff

Pediatric Dentistry · Bastrop, TX

NPI number 1033382841 Active

Practice location

696 Highway 71 W, Building 4, Unit D
Bastrop, TX 78602-4009

Fax (888) 317-1936

Mailing address

640 S College St
La Grange, TX 78945-3409

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XTX21353 (TX)

Pediatric Dentistry: 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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About NPI 1033382841

Danna Radcliff's National Provider Identifier is 1033382841, issued on Apr 12, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bastrop, TX. The record was last updated on Nov 10, 2011.