Organization
TOTAL SMILE MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT MILNER TATE JR. D.D.S., M.S.D. (OWNER/PRESIDENT)
(512) 346-1221
Entity
Organization
Contact information
Practice address
11149 RESEARCH BLVD, SUITE 270, AUSTIN, TX 78759-5279
(512) 346-1221
(512) 502-9689
Mailing address
11149 RESEARCH BLVD, SUITE 270, AUSTIN, TX 78759-5279
(512) 346-1221
(512) 502-9689
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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