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Individual

FIONA M NUNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2411 WILLIAMS DR, SUITE 111, GEORGETOWN, TX 78628-3261
(512) 864-1445
(512) 864-1447
Mailing address
1500 W UNIVERSITY AVE, SUITE 103, GEORGETOWN, TX 78628-7108
(512) 868-1124
(512) 868-9894

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23086
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191198401
TX
Enumeration date
06/13/2007
Last updated
07/22/2008
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