Provider Demographics
NPI:1407607294
Name:AFFORDABLE DENTURES & IMPLANTS - TEXAS X, PLLC
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - TEXAS X, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:737-243-1927
Mailing Address - Street 1:1335 E. WHITESTONE BLVD.
Mailing Address - Street 2:BLDG D. , SUITE 145
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:737-243-1927
Mailing Address - Fax:
Practice Address - Street 1:1335 E. WHITESTONE BLVD.
Practice Address - Street 2:BLDG D. , SUITE 145
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:737-243-1927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty