Organization
KIDS TOOTH TEAM SOUTH AUSTIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA BARTON OTTO DDS (DIRECTOR)
(239) 293-0387
Entity
Organization
Contact information
Practice address
1217 W SLAUGHTER LN STE 140, AUSTIN, TX 78748-6916
(512) 523-4774
(512) 355-7030
Mailing address
1245 MAIN ST STE 300, BUDA, TX 78610-2269
(512) 523-4774
(512) 355-7030
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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