Organization
CAPITAL ORTHODONTICS PA
Active
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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