Texdentgroup

NPI 1285915413 - Dentist - 1223G0001X

NPI Details
NPI 1285915413
Enumeration Date 09/01/2011
Last Updated 09/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERT ROBERT
Position PRESIDENT
Phone (512) 459-4347
Fax (512) 459-4348
Practice Location
1802 ANDERSON LANE
AUSTIN TX, 78757, US
Phone (512) 459-4347
Fax (512) 459-4348
Business Location
2609 PADINA DR
AUSTIN TX, 78733-1666, US
Phone (512) 569-5557
Fax (512) 263-1490
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 17310
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According to our database, Texdentgroup NPI is 1285915413, taxonomy code is 1223G0001X and license number is 17310, license state is located at Texas. Texdentgroup physically located at 1802 Anderson Lane, Austin TX, 78757. NPI Number 1033115704 has the healthcare provider type.

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1285915413 NPI number is provided on an as is basis without warranty of any kind. 1285915413 is maintained by the National Plan & Provider Enumeration System. The contents of Texdentgroup are for informational purposes only.