Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
South Austin Dentist
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
3901 S LAMAR BLVD STE 480, AUSTIN, TX 78704-7990
(512) 448-3131
Mailing address
3901 S LAMAR BLVD STE 480, AUSTIN, TX 78704-7990
(512) 448-3131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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