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Organization
MODERN FAMILY DENTISTRY OF OAK HILL, P.A.
Active
Organization
MODERN FAMILY DENTISTRY OF OAK HILL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGNOLIA MAGGIE SHARFAE DDS (OWNER)
(512) 301-9002
Entity
Organization
Contact information
Practice address
6001 W WILLIAM CANNON DR, STE 200, AUSTIN, TX 78749-1968
(512) 301-9002
(512) 301-9019
Mailing address
6001 W WILLIAM CANNON DR, STE 200, AUSTIN, TX 78749-1968
(512) 301-9002
(512) 301-9019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19831
TX
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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