Organization
METRO PERIODONTICS
Active
Other names
Lonestar Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MARK BINGAHAM DDS (OWNER)
(512) 453-1600
Entity
Organization
Contact information
Practice address
711 W 38TH ST, STE G5, AUSTIN, TX 78705-1121
(512) 453-1600
(512) 453-1503
Mailing address
711 W 38TH ST, STE G5, AUSTIN, TX 78705
(512) 453-1600
(512) 453-1503
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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