Organization
MICHAEL ALLEN CIAVERELLI, DDS, P.A.
Active
Other names
Brodie Oaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CIAVERELLI DDS (PRESIDENT)
(512) 445-5866
Entity
Organization
Contact information
Practice address
4029 S CAPITAL OF TEXAS HWY, SUITE 109, AUSTIN, TX 78704-7927
(512) 445-5866
(512) 445-4262
Mailing address
4029 S CAPITAL OF TEXAS HWY, SUITE 109, AUSTIN, TX 78704-7927
(512) 445-5866
(512) 445-4262
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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