Organization
SOUTH AUSTIN ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN UDDARAJU RAJU (ORAL SURGEON)
(512) 692-7140
Entity
Organization
Contact information
Practice address
706B W BEN WHITE BLVD # 194, AUSTIN, TX 78704-7153
(512) 692-7140
Mailing address
706B W BEN WHITE BLVD # 194, AUSTIN, TX 78704-7153
(512) 692-7140
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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