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Organization
NORTHWEST ENDODONTICS PA
Active
Organization
NORTHWEST ENDODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
11671 JOLLYVILLE RD STE 201, AUSTIN, TX 78759-4141
(512) 249-7668
Mailing address
11671 JOLLYVILLE RD STE 201, AUSTIN, TX 78759-4141
(512) 249-7668
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/10/2026
Last updated
09/10/2026
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