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Organization
AIDS SERVICES OF AUSTIN INC
Active
Organization
AIDS SERVICES OF AUSTIN INC
Active
Other names
Jack Sansing Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE NELSON (DIRECTOR OF DENTAL SERVICES)
(512) 900-3471
Entity
Organization
Contact information
Practice address
711 W. 38TH ST., SUITE E-4, AUSTIN, TX 78705
(512) 479-6633
(512) 479-6617
Mailing address
PO BOX 4874, AUSTIN, TX 78765
(512) 458-2437
(512) 452-3299
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/26/2007
Last updated
05/19/2016
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