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Organization
SOUTH AUSTIN DENTAL ASSOCIATES
Active
Organization
SOUTH AUSTIN DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L. BUTCHER DENTIST (DR.)
(512) 444-1133
Entity
Organization
Contact information
Practice address
4419 FRONTIER TRL, SUITE 104, AUSTIN, TX 78745-1686
(512) 444-1133
(512) 445-0552
Mailing address
4419 FRONTIER TRL, SUITE 104, AUSTIN, TX 78745-1686
(512) 444-1133
(512) 445-0552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11987
TX
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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