Individual
MARY SEAWELL FUSELIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7225 W HWY 71, SUITE C, AUSTIN, TX 78735-8350
(512) 288-0522
(512) 288-6506
Mailing address
11219 READVILL LANE, AUSTIN, TX 78739
(512) 301-7975
(512) 288-6506
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19053
TX
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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