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Organization
LORENA SA, PLLC
Active
Organization
LORENA SA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENA TADDEI SA DDS (OWNER/DENTIST)
(404) 931-0910
Entity
Organization
Contact information
Practice address
9415 BURNET RD STE 105, AUSTIN, TX 78758-5245
(404) 931-0910
Mailing address
9415 BURNET RD STE 105, AUSTIN, TX 78758-5245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24755
TX
Other
Enumeration date
05/23/2010
Last updated
05/23/2010
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