Individual
DR. KISHORE SAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MSD.
Contact information
Practice address
1110 W WILLIAM CANNON DR STE 401, AUSTIN, TX 78745-5498
(512) 445-5811
Mailing address
1110 W WILLIAM CANNON DR, STE 401, AUSTIN, TX 78745-5468
(512) 445-5811
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
28488
TX
Other
Enumeration date
08/25/2010
Last updated
02/23/2015
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