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Organization

AUSTIN PERIO HEALTH

Active
Parent organization
AUSTIN DENTAL SPECIALISTS
Other names
Austin Perio Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
AUSTIN DENTAL SPECIALISTS
Authorized official
JOSHUA ROLAND CHAPA DDS, MS (OWNER)
(512) 346-2490
Entity
Organization

Contact information

Practice address
4310 MEDICAL PKWY STE 201, AUSTIN, TX 78756-3331
(361) 549-7140
Mailing address
4310 MEDICAL PKWY STE 201, AUSTIN, TX 78756-3331
(361) 549-7140

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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