Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Davenport Village Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CASSANDRA TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
3801 N CAPITAL OF TEXAS HWY, SUITE E280, AUSTIN, TX 78746-1416
(512) 306-8900
Mailing address
3801 N CAPITAL OF TEXAS HWY, SUITE E280, AUSTIN, TX 78746-1416
(512) 306-8900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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