Organization
AUSTIN PROFESSIONAL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMIN NOLEN (EXECUTIVE ASSISTANT)
(972) 982-8490
Entity
Organization
Contact information
Practice address
615 W SLAUGHTER LN, SUITE 117, AUSTIN, TX 78748-2094
(512) 233-6825
Mailing address
5400 LYNDON B JOHNSON FWY, SUITE 944, DALLAS, TX 75240-1000
(972) 982-8490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22958
TX
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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