Organization
KG DENTAL PC
Active
Other names
Blunn Creek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHISHEK RUPARELIA (OWNER)
(512) 277-7201
Entity
Organization
Contact information
Practice address
2550 S INTERSTATE 35 STE 210, AUSTIN, TX 78704-5724
(512) 277-7201
Mailing address
2550 S INTERSTATE 35 STE 210, AUSTIN, TX 78704-5724
(512) 277-7201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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