Organization
BRIDGE DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J. PETERS DDS (OWNER)
(512) 600-3535
Entity
Organization
Contact information
Practice address
13616 N HIGHWAY 183 UNIT B, AUSTIN, TX 78750-2312
(512) 600-3535
Mailing address
13616 N HIGHWAY 183 UNIT B, AUSTIN, TX 78750-2312
(512) 600-3535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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