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Organization

LAKE AUSTIN FAMILY DENTAL, PLLC

Active
Other names
Lake Austin Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
JAQUELYN MORRIS DDS (OWNER)
(512) 474-5233
Entity
Organization

Contact information

Practice address
2504 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4455
(512) 474-5233
Mailing address
2504 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4455

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/06/2009
Last updated
11/06/2009
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