Individual
DR. CHRISTOPHER DISLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12901 N INTERSTATE 35, 1320, AUSTIN, TX 78753-1019
(512) 990-8300
Mailing address
12901 N INTERSTATE 35, SUITE 1320, AUSTIN, TX 78753-1019
(512) 990-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30453
TX
Other
Enumeration date
04/08/2014
Last updated
02/27/2015
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