# AUSTIN DSG, PLLC

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

## Provider details

- **NPI number:** 1518313337
- **Authorized official:** DR. PEJMAN KHOSRAVIAN DMD (CEO)
- **Authorized official phone:** (512) 722-6338

## Contact information

- **Practice address:** 5000 DAVIS LN, SUITE \#101, AUSTIN, TX 78749-3683
- **Practice address phone:** (512) 441-6200
- **Mailing address:** 1920 CORPORATE DR, UNIT \#107A, SAN MARCOS, TX 78666-6283
- **Mailing address phone:** (512) 722-6338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 25904 | TX | Yes |
| 1223P0221X | Pediatric Dentistry | 25904 | TX | — |

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 05/11/2016