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Organization
TREATY OAK DENTAL, PLLC
Active
Organization
TREATY OAK DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WALTER JAY DDS (MEMBER)
(512) 478-4411
Entity
Organization
Contact information
Practice address
2905 SAN GABRIEL STREET SUITE 202, AUSTIN, TX 78705-3539
(512) 478-4411
(511) 247-8006
Mailing address
2905 SAN GABRIEL STREET SUITE 202, AUSTIN, TX 78705-3539
(512) 478-4411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32670
TX
Other
Enumeration date
02/07/2018
Last updated
07/10/2019
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