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Organization
VAN DYKE DENTAL ASSOCIATES
Active
Organization
VAN DYKE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY D. LEVINSON (CEO)
(512) 266-0189
Entity
Organization
Contact information
Practice address
7112 ED BLUESTEIN BLVD, SUITE 100, AUSTIN, TX 78723-2900
(512) 744-6000
Mailing address
15004 PHEASANT LN, LAKEWAY, TX 78734-4718
(512) 266-0189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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