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Organization
SHANE MATT, DDS PLLC
Active
Organization
SHANE MATT, DDS PLLC
Active
Other names
Authentic Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE EDEN MATT DDS (OWNER)
(512) 330-9403
Entity
Organization
Contact information
Practice address
211 SAN ANTONIO ST, AUSTIN, TX 78701-4063
(512) 330-9403
(512) 373-3408
Mailing address
211 SAN ANTONIO ST, AUSTIN, TX 78701-4063
(512) 330-9403
(512) 373-3408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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