# KAMEL ELHOSARY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Austin Dental Studio PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407473101
- **Authorized official:** DR. KAMEL ELHOSARY DMD (OWNER)
- **Authorized official phone:** (512) 444-4400

## Contact information

- **Practice address:** 1221 W BEN WHITE BLVD STE 212A, AUSTIN, TX 78704-7002
- **Practice address phone:** (512) 444-4400
- **Practice address fax:** (512) 447-7551
- **Mailing address:** 1221 W BEN WHITE BLVD STE 212A, AUSTIN, TX 78704-7002
- **Mailing address phone:** (512) 444-4400
- **Mailing address fax:** (512) 447-7551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2020
- **Last updated:** 06/29/2020