Individual
DR. ANTONIA PEREGONOV KOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2500 W PARMER LN, SUITE 140, AUSTIN, TX 78727-4233
(512) 837-6100
(512) 733-5600
Mailing address
2508 MERION CV, ROUND ROCK, TX 78664-6231
(512) 238-9742
(512) 733-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20366
TX
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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