Organization
CARUS DENTAL PC
Active
Parent organization
CARUS DENTAL PC
Other names
Carus Dental North Austin Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARUS DENTAL PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
12201 RENFERT WAY STE 345, AUSTIN, TX 78758-5366
(512) 836-3074
(512) 836-3252
Mailing address
12201 RENFERT WAY STE 345, AUSTIN, TX 78758-5366
(512) 836-3074
(512) 836-3252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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