# ALTA DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467926428
- **Authorized official:** MOHAMMAD ARIF DDS (OWNER)
- **Authorized official phone:** (951) 642-0948

## Contact information

- **Practice address:** 6104 S 1ST ST STE 103, AUSTIN, TX 78745-4052
- **Practice address phone:** (951) 642-0648
- **Mailing address:** 6104 S 1ST ST STE 103, AUSTIN, TX 78745-4052
- **Mailing address phone:** (951) 642-0948

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2019
- **Last updated:** 01/13/2019