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Organization
STASSNEY SMILES, P.C.
Active
Organization
STASSNEY SMILES, P.C.
Active
Other names
River Rock Dental - Stassney
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON BOOTH DDS (OWNER)
(512) 739-9440
Entity
Organization
Contact information
Practice address
5717 SOUTH IH 35, BLDG B SUITE #101, AUSTIN, TX 78744
(512) 462-4775
(512) 462-4782
Mailing address
4410 E RIVERSIDE DR, SUITE 150, AUSTIN, TX 78741-4799
(512) 206-4484
(512) 206-4993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23496
TX
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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