Organization
AUSTIN CITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D. COOK (OWNER)
(512) 451-8256
Entity
Organization
Contact information
Practice address
1500 W 38TH ST STE 37, AUSTIN, TX 78731-6318
(512) 451-8256
Mailing address
1500 W 38TH ST STE 37, AUSTIN, TX 78731-6318
(512) 451-8256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11693
TX
1223G0001X
General Practice Dentistry
Primary
22510
TX
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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