Organization
JOHN AUSTIN, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L AUSTIN JR. D.D.S. (MEMBER/OWNER)
(810) 733-8890
Entity
Organization
Contact information
Practice address
4256 S LINDEN RD, FLINT, MI 48507-2908
(810) 733-8890
Mailing address
4256 S LINDEN RD, FLINT, MI 48507-2908
(810) 733-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901017650
STATE OF MICHIGAN
MI
Enumeration date
02/14/2008
Last updated
02/14/2008
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