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Individual

DR. MASSIEL PARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
8901 VERTEX BLVD UNIT 130, AUSTIN, TX 78747-2793
(512) 677-7443
Mailing address
8901 VERTEX BLVD UNIT 130, AUSTIN, TX 78747-2793
(512) 677-7443
(512) 333-2862

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02607900
NJ
1223P0221X
Pediatric Dentistry
058860
NY
1223P0221X
Pediatric Dentistry
Primary
40348
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0491977
NJ
Enumeration date
07/27/2015
Last updated
08/11/2025
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