Organization
AUSTIN DENTAL GROUP PLLC
Active
Other names
04 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN COOK DDS (OWNER)
(512) 451-8256
Entity
Organization
Contact information
Practice address
3115 S LAMAR BLVD, AUSTIN, TX 78704-5803
(512) 640-4090
(512) 386-1142
Mailing address
1901 BARTON HILLS DR, AUSTIN, TX 78704-3217
(512) 640-4090
(512) 386-1142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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