Sam B Fason DDS

NPI 1093788556 - Dentist - 1223S0112X

NPI Details
NPI 1093788556
Gender Male
Enumeration Date 02/07/2006
Last Updated 04/06/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
711 W 38TH ST
SUITE A-1
AUSTIN TX, 78705-1121, US
Phone (512) 454-1220
Fax
Business Location
711 W 38TH ST
SUITE A-1
AUSTIN TX, 78705-1121, US
Phone (512) 454-1220
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Texas
License Number 7687
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According to our database, Dr. Sam B Fason DDS NPI is 1093788556, taxonomy code is 1223S0112X and license number is 7687, license state is located at Texas. Sam B Fason DDS physically located at 711 W 38th St, Austin TX, 78705-1121. NPI Number Sam B Fason DDS has the Individual type.

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1093788556 NPI number is provided on an as is basis without warranty of any kind. 1093788556 is maintained by the National Plan & Provider Enumeration System. The contents of Sam B Fason DDS are for informational purposes only.