Organization
AUSTIN FAMILY DENTAL SPA PLLC
Active
Other names
Austin Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT JENNINGS DDS (OWNER)
(940) 206-8956
Entity
Organization
Contact information
Practice address
3305 NORTHLAND DR STE 515, AUSTIN, TX 78731-4991
(512) 380-1300
Mailing address
2109 COMMERCE ST, DALLAS, TX 75201-4305
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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