Organization
AIDS SERVICES OF AUSTIN INC
Active
Other names
Jack Sansing Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE NELSON (DIRECTOR OF DENTAL SERVICES)
(512) 900-3471
Entity
Organization
Contact information
Practice address
711 W. 38TH ST., SUITE E-4, AUSTIN, TX 78705
(512) 479-6633
(512) 479-6617
Mailing address
PO BOX 4874, AUSTIN, TX 78765
(512) 458-2437
(512) 452-3299
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
05/19/2016
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