Individual
DR. ASHWIN BALAKRISHNAN NAMBISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MPH
Contact information
Practice address
4505 SPICEWOOD SPRINGS RD STE 100, AUSTIN, TX 78759-8540
(512) 660-5008
Mailing address
4505 SPICEWOOD SPRINGS RD STE 100, AUSTIN, TX 78759-8540
(512) 660-5008
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
33926
TX
Other
Enumeration date
05/16/2017
Last updated
08/18/2023
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