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Organization
VAN DYKE DENTAL ASSOCIATES, PA
Active
Organization
VAN DYKE DENTAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CANTU (CREDENTIALING)
(512) 744-6000
Entity
Organization
Contact information
Practice address
6425 S IH 35, SUITE 100, AUSTIN, TX 78744-4271
(512) 744-6000
(512) 334-2321
Mailing address
2621 RIDGEPOINT DR, SUITE 130, AUSTIN, TX 78754-5232
(512) 744-6000
(512) 334-2321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23148
TX
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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