Organization
DENTAL SMILES
Active
Other names
Dental Smiles PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVYA Y SHETTY DMD (OWNER)
(512) 467-9955
Entity
Organization
Contact information
Practice address
1201 BARBARA JORDAN BLVD STE 1435, AUSTIN, TX 78723-3099
(512) 467-9955
(512) 322-9966
Mailing address
1201 BARBARA JORDAN BLVD STE 1435, AUSTIN, TX 78723-3099
(512) 467-9955
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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