Van Dyke Dental Associates

NPI 1144400870 - Dentist - 1223G0001X

NPI Details
NPI 1144400870
Enumeration Date 11/09/2007
Last Updated 11/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BARRY D. BARRY
Position CEO
Phone (512) 744-6000
Fax
Practice Location
7112 ED BLUESTEIN BLVD
SUITE 100
AUSTIN TX, 78723-2900, US
Phone (512) 744-6000
Fax
Business Location
15004 PHEASANT LN
LAKEWAY TX, 78734-4718, US
Phone (512) 266-0189
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Van Dyke Dental Associates NPI is 1144400870, taxonomy code is 1223G0001X Van Dyke Dental Associates physically located at 7112 Ed Bluestein Blvd, Austin TX, 78723-2900. NPI Number 1033115704 has the healthcare provider type.

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1144400870 NPI number is provided on an as is basis without warranty of any kind. 1144400870 is maintained by the National Plan & Provider Enumeration System. The contents of Van Dyke Dental Associates are for informational purposes only.