Individual
CAESAR COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1303 SAN ANTONIO ST STE 500, AUSTIN, TX 78701-0025
(512) 879-6600
Mailing address
1303 SAN ANTONIO ST STE 500, AUSTIN, TX 78701-0025
(512) 879-6600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19754
TX
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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