# AUSTIN FAMILY DENTISTRY PPLC

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

## Provider details

- **NPI number:** 1821315227
- **Authorized official:** DR. REZA ARZEGAR DDS (OWNER/PROVIDER)
- **Authorized official phone:** (818) 620-1411

## Contact information

- **Practice address:** 4631 AIRPORT BLVD, 120A, AUSTIN, TX 78751-3453
- **Practice address phone:** (818) 620-1411
- **Practice address fax:** (512) 402-9986
- **Mailing address:** 4631 AIRPORT BLVD, 120A, AUSTIN, TX 78751-3453
- **Mailing address phone:** (818) 620-1411
- **Mailing address fax:** (512) 402-9986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/23/2010