Organization
AUSTIN SIXTH STREET SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABENA ASARE (OWNER/DENTIST)
(512) 516-1247
Entity
Organization
Contact information
Practice address
1717 W 6TH ST, SUITE 365, AUSTIN, TX 78703-4773
(512) 516-1247
(512) 351-8098
Mailing address
1717 W 6TH ST, SUITE 365, AUSTIN, TX 78703-4773
(512) 516-1247
(512) 351-8098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24323
TX
Other
Enumeration date
03/19/2013
Last updated
05/13/2014
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