Organization
CHILDREN'S DENTAL ANESTHESIA GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KENNETH AUSTIN M.D. (PRESIDENT)
(510) 295-7913
Entity
Organization
Contact information
Practice address
747 52ND ST, DEPT. ANESTHESIOLOGY, OAKLAND, CA 94609-1809
(510) 295-7913
Mailing address
747 52ND ST, DEPT. ANESTHESIOLOGY, OAKLAND, CA 94609-1809
(510) 295-7913
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
FNP38903
CA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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