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Organization

K & N DENTAL I PLLC

Active
Other names
Safari Children's Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NIEKU MANSHADI D.D.S. (PRESIDENT)
(979) 778-6010
Entity
Organization

Contact information

Practice address
101 COLORADO ST, 1605, AUSTIN, TX 78701-4103
(979) 778-6010
Mailing address
101 COLORADO ST, 1605, AUSTIN, TX 78701-4103
(979) 778-6010

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
01/04/2012
Last updated
03/14/2014
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