Advanced Smile Center | |
3407 Wells Branch Pkwy Ste 700 Austin TX 78728-6619 | |
(512) 244-7677 | |
(512) 244-9672 |
Full Name | Advanced Smile Center |
---|---|
Speciality | Dentist - General Practice |
Location | 3407 Wells Branch Pkwy Ste 700, Austin, Texas |
Authorized Official Name and Position | Fatemeh Samani (DDS) |
Authorized Official Contact | 5122447677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Smile Center 3407 Wells Branch Pkwy Ste 700 Austin TX 78728-6619 Ph: (512) 244-7677 | Advanced Smile Center 3407 Wells Branch Pkwy Ste 700 Austin TX 78728-6619 Ph: (512) 244-7677 |
NPI Number | 1104154251 |
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Provider Enumeration Date | 12/01/2009 |
Last Update Date | 12/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104154251 | NPI | - | NPPES |
16598 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 16589 (Texas) | Primary |
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