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Organization
THE PARKSIDE DENTIST
Active
Organization
THE PARKSIDE DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REX BRIONES DDS (OWNER/DENTIST)
(512) 280-1216
Entity
Organization
Contact information
Practice address
10001 S INTERSTATE 35, SUITE 305, AUSTIN, TX 78747-1701
(512) 280-1216
Mailing address
10001 S INTERSTATE 35, SUITE 305, AUSTIN, TX 78747-1701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25859
TX
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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