Individual
MRS. DIVYA Y. SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1201 BARBARA JORDAN BLVD, SUITE 1435, AUSTIN, TX 78723-3083
(512) 467-9955
(512) 322-9966
Mailing address
1201 BARBARA JORDAN BLVD, SUITE 1435, AUSTIN, TX 78723-3083
(512) 467-9955
(512) 322-9966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
204022970
TX
Other
Enumeration date
08/18/2006
Last updated
08/25/2010
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