Organization
KARN KRITSANACHAIWANICH PA
Active
Other names
Western Trails Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARN KRITSANACHAIWANICH DDS (OWNER)
(512) 326-2066
Entity
Organization
Contact information
Practice address
2312 WESTERN TRAILS BLVD, 104-A, AUSTIN, TX 78745-1642
(512) 326-2066
(512) 326-2955
Mailing address
2312 WESTERN TRAILS BLVD, 104-A, AUSTIN, TX 78745-1642
(512) 326-2066
(512) 326-2955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17673
TX
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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