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Organization
ALTA DENTAL PLLC
Active
Organization
ALTA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ARIF DDS (OWNER)
(951) 642-0948
Entity
Organization
Contact information
Practice address
6104 S 1ST ST STE 103, AUSTIN, TX 78745-4052
(951) 642-0648
Mailing address
6104 S 1ST ST STE 103, AUSTIN, TX 78745-4052
(951) 642-0948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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