Organization
AUSTIN PERIODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CALLIA DDS, MS (MANAGING PARTNER)
(512) 589-9108
Entity
Organization
Contact information
Practice address
8200 N MOPAC EXPY STE 120, AUSTIN, TX 78759-8845
(512) 863-9500
(512) 863-9562
Mailing address
8200 N MOPAC EXPY STE 120, AUSTIN, TX 78759-8845
(512) 863-9500
(512) 863-9562
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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