Organization
AUSTIN PERIODONTAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LEONARD DOLCE DDS MS (PRESIDENT)
(512) 346-6097
Entity
Organization
Contact information
Practice address
7800 N MOPAC, SUITE 310, AUSTIN, TX 78759
(512) 346-6097
(512) 346-8135
Mailing address
7800 N MOPAC, SUITE 310, AUSTIN, TX 78759-8961
(512) 346-6097
(512) 346-8135
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16531
TX
1223P0300X
Periodontics
20256
TX
1223P0300X
Periodontics
7673
TX
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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