Organization
AISHANI DENTAL PLLC DBA AUSTIN PRIMARY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPA RAJANNA DMD (DENTIST/ OWNER)
(512) 705-4906
Entity
Organization
Contact information
Practice address
6700 W GATE BLVD STE 103, AUSTIN, TX 78745-4867
(512) 440-1333
(512) 440-0484
Mailing address
10900 GAILLARDIA, AUSTIN, TX 78733-5760
(512) 705-4906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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