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Individual

DR. JOHN L AUSTIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4256 S LINDEN RD, FLINT, MI 48507-2908
(810) 733-8890
(810) 733-6631
Mailing address
4256 S LINDEN RD, FLINT, MI 48507-2908
(810) 733-8890
(810) 733-6631

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017650
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2901017650
DENTAL LICENSE
MI
Enumeration date
01/10/2007
Last updated
07/08/2007
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