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Organization
WILLIAM CANNON FAMILY DENTAL PC
Active
Organization
WILLIAM CANNON FAMILY DENTAL PC
Active
Other names
KIDZ DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
ASHA PATEL (OWNER)
(512) 326-3473
Entity
Organization
Contact information
Practice address
500 W WILLIAM CANNON DR STE 438A, AUSTIN, TX 78745-5853
(512) 326-3473
Mailing address
500 W WILLIAM CANNON DR STE 438A, AUSTIN, TX 78745-5853
(512) 326-3473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24247
TX
Other
Enumeration date
03/20/2013
Last updated
03/21/2013
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