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Organization
DUDEEN DDS PLLC
Active
Organization
DUDEEN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULAZIZ DUDEEN DDS (OWNER)
(213) 245-5279
Entity
Organization
Contact information
Practice address
3115 S LAMAR BLVD, AUSTIN, TX 78704-5803
(512) 640-4090
Mailing address
2217 LOU JOHN ST, AUSTIN, TX 78727-1239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28315
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
12/02/2021
Last updated
12/02/2021
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