Organization · Type 2 NPI
Subash Mutyala, P.a.
Pediatric Dentistry · Round Rock, TX
NPI number
1760704944
Active
Practice location
1500 A W Grimes Blvd
Round Rock, TX 78664-7836
Fax (512) 238-7301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 23436 (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.
Another provider at this address
Other pediatric dentistry providers in Round Rock
About NPI 1760704944
Subash Mutyala, P.a.'s National Provider Identifier is 1760704944, issued on Feb 16, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Round Rock, TX. The record was last updated on Feb 16, 2010.