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Organization
MUELLER DENTAL
Active
Organization
MUELLER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMYAR YAZDI D.D.S. (DENTIST)
(512) 203-2768
Entity
Organization
Contact information
Practice address
4544 PAGE ST, AUSTIN, TX 78723-5476
(512) 203-2768
Mailing address
2404 E 11TH ST, AUSTIN, TX 78702-3510
(512) 203-2768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27376
TX
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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