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Organization

BREEZE DENTAL E. 5TH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDICE M HERRERA (VP OPERATIONS)
(512) 535-3888
Entity
Organization

Contact information

Practice address
1300 E 5TH ST STE C, AUSTIN, TX 78702-3800
(512) 535-3888
Mailing address
1300 E 5TH ST STE C, AUSTIN, TX 78702-3800
(512) 535-3888

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/03/2025
Last updated
03/03/2025
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