Organization
FBL ATX LLC
Active
Other names
Floss
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MARANDA (OPERATIONS MANAGER)
(512) 221-7419
Entity
Organization
Contact information
Practice address
9901 BRODIE LN STE 130, AUSTIN, TX 78748-5889
(512) 282-4271
Mailing address
9901 BRODIE LN STE 130, AUSTIN, TX 78748-5889
(512) 282-4271
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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