Organization
AUSTIN CENTER FOR ENDODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAN AMIN DMD (PRESIDENT)
(512) 879-1350
Entity
Organization
Contact information
Practice address
3301 NORTHLAND DR, SUITE 201, AUSTIN, TX 78731-4939
(512) 879-1350
Mailing address
3301 NORTHLAND DR, SUITE 201, AUSTIN, TX 78731-4939
(512) 879-1350
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
27981
TX
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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