Organization
ENAMEL DENTISTRY SOUTH LAMAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVISHKUMAR PATEL DDS (OWNER)
(512) 717-5315
Entity
Organization
Contact information
Practice address
2717 S LAMAR BLVD, SUITE 1086, AUSTIN, TX 78704-5044
(512) 717-5315
Mailing address
2717 S LAMAR BLVD, SUITE 1086, AUSTIN, TX 78704-5044
(512) 717-5315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30046
TX
1223G0001X
General Practice Dentistry
Primary
30081
TX
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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