Organization
EVAN PEDERSEN DMD, PLLC
Active
Other names
Oris Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN PEDERSEN (OWNER)
(815) 975-8758
Entity
Organization
Contact information
Practice address
18101 W STATE HIGHWAY 71 STE 100, AUSTIN, TX 78738-0017
(512) 777-0866
Mailing address
6726 LANCRET HILL DR # B, AUSTIN, TX 78745-4717
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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