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Organization

ENAMEL DENTISTRY DOMAIN PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARDIK CHODAVADIA DDS (PARTNER)
(817) 988-6484
Entity
Organization

Contact information

Practice address
11005 BURNET RD STE 100, AUSTIN, TX 78758-4440
(512) 646-0815
Mailing address
11005 BURNET RD STE 100, AUSTIN, TX 78758-4440

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/03/2020
Last updated
02/09/2021
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