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Organization
ALFRED D AUSTIN JR DDS PLLC
Active
Organization
ALFRED D AUSTIN JR DDS PLLC
Active
Other names
Austin & Austin Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED D AUSTIN JR. DDS (DENTIST)
(989) 386-7021
Entity
Organization
Contact information
Practice address
104 W WHEATON AVE, CLARE, MI 48617-1247
(989) 386-7021
Mailing address
104 W WHEATON AVE, CLARE, MI 48617-1247
(989) 386-7021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568479913
—
MI
Enumeration date
07/17/2020
Last updated
07/17/2020
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