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Organization

J. KIP NIELSON DDS PLLC

Active
Other names
Starlight Dental and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
JED CODY NIELSON DDS (PROVIDER)
(512) 250-8101
Entity
Organization

Contact information

Practice address
10123 LAKE CREEK PKWY, BLDG 2, AUSTIN, TX 78729-1754
(512) 250-8101
Mailing address
10123 LAKE CREEK PKWY, BLDG 2, AUSTIN, TX 78729-1754
(512) 250-8101

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/16/2015
Last updated
06/16/2015
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