Individual
DEANA VICTORIA SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3432 RIBBON REEF LN, AUSTIN, TX 78728-4381
(512) 913-0882
Mailing address
3432 RIBBON REEF LN, AUSTIN, TX 78728-4381
(512) 913-0882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34322
TX
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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