Organization
CENTRAL TEXAS ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L ST. LOUIS D.D.S., M.S. (PRESIDENT)
(512) 292-1910
Entity
Organization
Contact information
Practice address
3413 SLAUGHTER LN W, AUSTIN, TX 78748-5711
(512) 292-1910
(512) 282-9905
Mailing address
3413 SLAUGHTER LN W, AUSTIN, TX 78748-5711
(512) 292-1910
(512) 282-9905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23702
TX
Other
Enumeration date
07/06/2008
Last updated
07/06/2008
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