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Organization
AUSTIN FAMILY DENTAL SPA PLLC
Active
Organization
AUSTIN FAMILY DENTAL SPA PLLC
Active
Other names
Austin Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT JENNINGS DDS (OWNER)
(940) 206-8956
Entity
Organization
Contact information
Practice address
3305 NORTHLAND DR STE 515, AUSTIN, TX 78731-4991
(512) 380-1300
Mailing address
2109 COMMERCE ST, DALLAS, TX 75201-4305
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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