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Organization
LAKE AUSTIN FAMILY DENTAL, PLLC
Active
Organization
LAKE AUSTIN FAMILY DENTAL, PLLC
Active
Other names
Lake Austin Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELYN MORRIS DDS (OWNER)
(512) 474-5233
Entity
Organization
Contact information
Practice address
2504 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4455
(512) 474-5233
Mailing address
2504 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4455
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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