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Organization
SS MCNABB DENTAL, P.A.
Active
Organization
SS MCNABB DENTAL, P.A.
Active
Other names
KING SMILES DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAYNE ISTRE DDS (OWNER)
(512) 832-6225
Entity
Organization
Contact information
Practice address
8522 N LAMAR BLVD, AUSTIN, TX 78753-5543
(512) 832-6225
(512) 832-8454
Mailing address
941 E PARK ROW DR, A, ARLINGTON, TX 76010-4508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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