Austin Modern Dentistry, Pc

NPI 1174829162 - Dentist - 1223G0001X

NPI Details
NPI 1174829162
Enumeration Date 02/08/2011
Last Updated 02/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JOHN S JOHN
Position CONTRACTS ADMIN
Phone (512) 892-0817
Fax (512) 899-2111
Practice Location
3601 W WILLIAM CANNON DR BLDG 4
AUSTIN TX, 78749-1533, US
Phone (512) 892-0817
Fax (512) 899-2111
Business Location
2860 MICHELLE FL 2
IRVINE CA, 92606-1008, US
Phone (714) 368-2077
Fax (714) 368-2092
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Austin Modern Dentistry, Pc NPI is 1174829162, taxonomy code is 1223G0001X Austin Modern Dentistry, Pc physically located at 3601 W William Cannon Dr Bldg 4, Austin TX, 78749-1533. NPI Number 1033115704 has the healthcare provider type.

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1174829162 NPI number is provided on an as is basis without warranty of any kind. 1174829162 is maintained by the National Plan & Provider Enumeration System. The contents of Austin Modern Dentistry, Pc are for informational purposes only.