Organization
FFD EASTSIDE, PLLC
Active
Other names
Forest Family Dentistry Eastside
Organization subpart
No
Provider details
NPI number
Authorized official
LANA EADS (BILLING LEAD)
(512) 761-2223
Entity
Organization
Contact information
Practice address
31 NAVASOTA ST, AUSTIN, TX 78702-5340
(512) 334-9894
Mailing address
31 NAVASOTA ST, AUSTIN, TX 78702-5340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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