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Individual

EDWARD GRIFFIN COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1301 W 25TH ST, SUITE 402, AUSTIN, TX 78705-4254
(512) 472-3565
(512) 472-1210
Mailing address
1301 W 25TH ST, SUITE 402, AUSTIN, TX 78705-4254
(512) 472-3565
(512) 472-1210

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17067
TX

Other

Enumeration date
01/13/2016
Last updated
01/13/2016
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