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Organization
STASSNEY AUSTIN DENTAL PLLC
Active
Organization
STASSNEY AUSTIN DENTAL PLLC
Active
Other names
River Rock Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(630) 877-3520
Entity
Organization
Contact information
Practice address
5717 S INTERSTATE 35 STE 101, AUSTIN, TX 78744-2711
(512) 462-4775
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
04/26/2023
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