Organization
EAST AUSTIN ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LARGENT MD DDS (OWNER)
(210) 846-3890
Entity
Organization
Contact information
Practice address
2832 E MLK BLVD APT 102, AUSTIN, TX 78702-1504
(210) 846-3890
Mailing address
5001 WESTVIEW DR, AUSTIN, TX 78731-4737
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
06/14/2024
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