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Individual

JANICE ELLEN REARDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
11501 BURNET RD, BUILDING 902, AUSTIN, TX 78758-3407
(512) 491-2060
Mailing address
PO BOX 85200, MAIL CODE 1300, AUSTIN, TX 78708-5200
(512) 491-2060

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13939
TX

Other

Enumeration date
05/08/2007
Last updated
12/02/2015
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