Individual
DR. MATHEW RANDLE DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2806 FLINTROCK TRCE # A206, AUSTIN, TX 78738-1745
(512) 263-3355
Mailing address
2806 FLINTROCK TRCE # A206, AUSTIN, TX 78738-1745
(512) 263-3335
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30161
TX
Other
Enumeration date
04/19/2014
Last updated
09/20/2023
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