Organization
LONGHORN PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA ARZEGAR DDS (OWNER DENTIST)
(818) 620-1411
Entity
Organization
Contact information
Practice address
4638 W GATE BLVD, AUSTIN, TX 78745-1461
(512) 892-2443
Mailing address
4638 W GATE BLVD, AUSTIN, TX 78745-1461
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
TX
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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