Organization
DENTAL SALON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA M TORRES (PRESIDENT)
(773) 532-9367
Entity
Organization
Contact information
Practice address
13625 RONALD W REAGAN BLVD BLDG 4, CEDAR PARK, TX 78613-2073
(512) 980-0089
Mailing address
16313 DOUBLE EAGLE DR, AUSTIN, TX 78717-3817
(773) 532-9367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28861
TX
Other
Enumeration date
06/22/2016
Last updated
09/21/2018
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