# FFD EASTSIDE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Family Dentistry Eastside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407509227
- **Authorized official:** LANA EADS (BILLING LEAD)
- **Authorized official phone:** (512) 761-2223

## Contact information

- **Practice address:** 31 NAVASOTA ST, AUSTIN, TX 78702-5340
- **Practice address phone:** (512) 334-9894
- **Mailing address:** 31 NAVASOTA ST, AUSTIN, TX 78702-5340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2022
- **Last updated:** 02/01/2022