Organization
THIRD DENTITION PLLC
Active
Other names
Clover Smile Studio
Organization subpart
No
Provider details
NPI number
Authorized official
KARNIK SHAH BDS, MS (OWNER)
(614) 779-5126
Entity
Organization
Contact information
Practice address
16009 FM 1325, AUSTIN, TX 78728-2876
(614) 779-5126
Mailing address
412 STAUNTON DR, LEANDER, TX 78641-5471
(614) 779-5126
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
11/12/2024
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