Advanced Smile Center

NPI 1104154251 - Dentist - 1223G0001X

NPI Details
NPI 1104154251
Enumeration Date 12/01/2009
Last Updated 12/01/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name FATEMEH FATEMEH
Position DDS
Phone (512) 244-7677
Fax (512) 244-9672
Practice Location
3407 WELLS BRANCH PKWY STE 700
AUSTIN TX, 78728-6619, US
Phone (512) 244-7677
Fax (512) 244-9672
Business Location
3407 WELLS BRANCH PKWY STE 700
AUSTIN TX, 78728-6619, US
Phone (512) 244-7677
Fax (512) 244-9672
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 16589
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According to our database, Advanced Smile Center NPI is 1104154251, taxonomy code is 1223G0001X and license number is 16589, license state is located at Texas. Advanced Smile Center physically located at 3407 Wells Branch Pkwy Ste 700, Austin TX, 78728-6619. NPI Number 1033115704 has the healthcare provider type.

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1104154251 NPI number is provided on an as is basis without warranty of any kind. 1104154251 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Smile Center are for informational purposes only.