Individual
EMILY LISSETH MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2110 W SLAUGHTER LN STE 190, AUSTIN, TX 78748-5997
(512) 593-4465
Mailing address
13112 POLLARD DR, AUSTIN, TX 78727-7023
(512) 316-6136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39574
TX
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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