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Organization
FSL ATX LLC
Active
Organization
FSL ATX LLC
Active
Parent organization
FSL ATX LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FSL ATX LLC
Authorized official
AMANDA MARANDA (OPERATIONS MANAGER)
(512) 221-7419
Entity
Organization
Contact information
Practice address
2708 S LAMAR BLVD STE 100A, AUSTIN, TX 78704-3964
(737) 202-4214
Mailing address
2708 S LAMAR BLVD STE 100A, AUSTIN, TX 78704-3964
(737) 202-4214
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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