Individual
AUTRINE LOGHMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4410 E RIVERSIDE DR STE 150, AUSTIN, TX 78741
(512) 669-5049
Mailing address
412 CHIHUAHUA TRL, AUSTIN, TX 78745-2352
(703) 507-3457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34102
TX
Other
Enumeration date
06/12/2018
Last updated
07/13/2020
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