Welldent I Pa

NPI 1548666241 - Dentist - 1223G0001X

NPI Details
NPI 1548666241
Enumeration Date 11/07/2014
Last Updated 11/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SIDNEY KIRK SIDNEY
Position PRESIDENT & OWNER
Phone (512) 537-8999
Fax (512) 628-6460
Practice Location
2550 S IH 35
SUITE 215
AUSTIN TX, 78704-5722, US
Phone (512) 537-8999
Fax (512) 628-6460
Business Location
2550 S IH 35
SUITE 215
AUSTIN TX, 78704-5722, US
Phone (512) 537-8999
Fax (512) 628-6460
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 16135
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According to our database, Welldent I Pa NPI is 1548666241, taxonomy code is 1223G0001X and license number is 16135, license state is located at Texas. Welldent I Pa physically located at 2550 S Ih 35, Austin TX, 78704-5722. NPI Number 1033115704 has the healthcare provider type.

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1548666241 NPI number is provided on an as is basis without warranty of any kind. 1548666241 is maintained by the National Plan & Provider Enumeration System. The contents of Welldent I Pa are for informational purposes only.