Organization
CAPITAL ORTHODONTICS PA
Active
Other names
Smiles by Dr Farrah
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARRAH AGAHI DMD (PRESIDENT)
(512) 258-6979
Entity
Organization
Contact information
Practice address
10119 LAKE CREEK PKWY, STE 1, AUSTIN, TX 78729-1757
(512) 258-6979
(512) 250-0381
Mailing address
10119 LAKE CREEK PKWY, STE 1, AUSTIN, TX 78729-1757
(512) 258-6979
(512) 250-0381
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19179
TX
Other
Enumeration date
03/04/2008
Last updated
05/23/2012
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