Provider Demographics
NPI:1740616614
Name:PFLUGERVILLE FAMILY DENTISTRY, PC
Entity type:Organization
Organization Name:PFLUGERVILLE FAMILY DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-681-0621
Mailing Address - Street 1:2606 FM 1825
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2606 FM 1825
Practice Address - Street 2:SUITE 109
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3656
Practice Address - Country:US
Practice Address - Phone:214-681-0621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28761122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty