Organization
ARBOR OAKS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG IAN BRAWNER DMD (OWNER)
(512) 258-4144
Entity
Organization
Contact information
Practice address
11851 JOLLYVILLE RD, SUITE 101, AUSTIN, TX 78759-2338
(512) 258-4144
Mailing address
11851 JOLLYVILLE RD, SUITE 101, AUSTIN, TX 78759-2338
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31599
TEXAS DENTAL LICENSE
TX
Enumeration date
03/30/2016
Last updated
03/30/2016
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