Provider Demographics
NPI:1801362637
Name:IQ DENTAL PLLC
Entity Type:Organization
Organization Name:IQ DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABIC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:512-540-4644
Mailing Address - Street 1:15511 STATE HIGHWAY 71 WEST
Mailing Address - Street 2:SUITE # 120
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738
Mailing Address - Country:US
Mailing Address - Phone:512-540-4644
Mailing Address - Fax:512-540-4644
Practice Address - Street 1:15511 STATE HIGHWAY 71 WEST
Practice Address - Street 2:SUITE # 120
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738
Practice Address - Country:US
Practice Address - Phone:512-540-4644
Practice Address - Fax:512-540-4644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty