Individual
FEDERICO JOSE PIGEM GASOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12335 HYMEADOW DR, AUSTIN, TX 78750-1934
(512) 250-5012
Mailing address
51 RAINEY ST, AUSTIN, TX 78701-4401
(310) 948-8659
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33575
TX
1223P0700X
Prosthodontics
33575
TX
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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