Individual
BRIAN KISTENMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
893 NORTH INTERSTATE HIGHWAY 35, SUITE 200, ROUND ROCK, TX 78664
(512) 310-9374
(512) 244-3954
Mailing address
11615 ANGUS RD, SUITE 210, AUSTIN, TX 78759-4078
(512) 795-9643
(512) 795-9959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17934
TX
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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