Organization
AIRPORT DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NUSSBAUM DDS (OWNER)
(512) 291-6684
Entity
Organization
Contact information
Practice address
3851 AIRPORT BLVD STE 105, AUSTIN, TX 78722-1344
(512) 291-6684
Mailing address
3851 AIRPORT BLVD STE 105, AUSTIN, TX 78722-1344
(512) 291-6684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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