Organization
AUS DENTAL ASSOC 2,PLLC
Active
Other names
Plaza Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GEORGE (PARTNER)
(949) 400-0244
Entity
Organization
Contact information
Practice address
14900 AVERY RANCH BLVD, C-100, AUSTIN, TX 78717-3951
(512) 238-1244
Mailing address
14900 AVERY RANCH BLVD, C-100, AUSTIN, TX 78717-3951
(512) 238-1244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28812
TX
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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