Organization
ADVANCED SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATEMEH SAMANI (DDS)
(512) 244-7677
Entity
Organization
Contact information
Practice address
3407 WELLS BRANCH PKWY STE 700, AUSTIN, TX 78728-6619
(512) 244-7677
(512) 244-9672
Mailing address
3407 WELLS BRANCH PKWY STE 700, AUSTIN, TX 78728-6619
(512) 244-7677
(512) 244-9672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16598
—
TX
Enumeration date
12/01/2009
Last updated
12/01/2009
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