# DUDEEN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770241127
- **Authorized official:** ABDULAZIZ DUDEEN DDS (OWNER)
- **Authorized official phone:** (213) 245-5279

## Contact information

- **Practice address:** 3115 S LAMAR BLVD, AUSTIN, TX 78704-5803
- **Practice address phone:** (512) 640-4090
- **Mailing address:** 2217 LOU JOHN ST, AUSTIN, TX 78727-1239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2021
- **Last updated:** 12/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 28315 | TEXAS STATE BOARD OF DENTAL EXAMINERS | TX |
