Organization
BRUSH DENTAL DOMAIN PC
Active
Other names
Floss Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VIRAJ PATEL DMD (OWNER)
(862) 216-8108
Entity
Organization
Contact information
Practice address
3310 W BRAKER LN, BLDG 1 SUITE 100, AUSTIN, TX 78758-7853
(512) 617-0110
Mailing address
3310 W BRAKER LN, BLDG 1 SUITE 100, AUSTIN, TX 78758-7853
(512) 617-0110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29515
TX
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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