Organization
AUSTIN CONE BEAM IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E. BRIAN SMITH DDS (MANAGING PARTNER)
(512) 328-1985
Entity
Organization
Contact information
Practice address
3305 NORTHLAND DR, SUITE 210, AUSTIN, TX 78731-4961
(512) 458-2224
Mailing address
3305 NORTHLAND DR, SUITE 210, AUSTIN, TX 78731-4961
(512) 458-2224
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
R31533
TX
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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