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Organization
THE DENTAL STANDARD
Active
Organization
THE DENTAL STANDARD
Active
Other names
Dental Care of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIDA DE LA CRUZ (OFFICE MANAGER)
(512) 955-5500
Entity
Organization
Contact information
Practice address
9225 W PARMER LN STE 104, AUSTIN, TX 78717-4694
(512) 955-5500
(512) 955-5600
Mailing address
9225 W PARMER LN STE 104, AUSTIN, TX 78717-4694
(512) 955-5500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/26/2018
Last updated
06/24/2024
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