Austin Riverside - Dr, Llc

NPI 1144520859 - Dentist - 1223G0001X

NPI Details
NPI 1144520859
Enumeration Date 10/27/2010
Last Updated 04/22/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SON SON
Position PRESIDENT
Phone (512) 264-7300
Fax
Practice Location
2015 E RIVERSIDE DR
BLDG 2 STE C
AUSTIN TX, 78741-1324, US
Phone (512) 264-7300
Fax
Business Location
2515 MCKINNEY AVE
SUITE 940
DALLAS TX, 75201-1908, US
Phone (972) 747-1400
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Austin Riverside - Dr, Llc NPI is 1144520859, taxonomy code is 1223G0001X Austin Riverside - Dr, Llc physically located at 2015 E Riverside Dr, Austin TX, 78741-1324. NPI Number 1033115704 has the healthcare provider type.

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1144520859 NPI number is provided on an as is basis without warranty of any kind. 1144520859 is maintained by the National Plan & Provider Enumeration System. The contents of Austin Riverside - Dr, Llc are for informational purposes only.