Individual
TARYN SLEPICOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
2401 ALDRICH ST APT 447, AUSTIN, TX 78723-2238
(661) 310-4919
Mailing address
28216 KENTON LN, SANTA CLARITA, CA 91350-3957
(661) 310-4919
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37115
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
04/01/2024
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