Individual
DR. SUMAN BATHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2400 E OLTORF ST, AUSTIN, TX 78741-4563
(512) 822-7275
Mailing address
4825 DAVIS LN APT 922, AUSTIN, TX 78749-4564
(310) 997-6558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
29137
TX
1223E0200X
Endodontics
Primary
29137
TX
Other
Enumeration date
06/20/2013
Last updated
08/07/2019
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