Organization
S & N DENTAL
Active
Other names
Carnaval Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE RAYMOND DDS (OWNER/DENTIST)
(512) 454-4646
Entity
Organization
Contact information
Practice address
8716 RESEARCH BLVD, # 125, AUSTIN, TX 78758-6420
(512) 454-4646
(512) 419-0561
Mailing address
8716 RESEARCH BLVD, # 125, AUSTIN, TX 78758-6420
(512) 454-4646
(512) 419-0561
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18034
TX
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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