| Austin Periodontics Pa | |
|
8200 N Mopac Expy Ste 120 Austin TX 78759-8845 | |
| (512) 863-9500 | |
| (512) 863-9562 |
| Full Name | Austin Periodontics Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 8200 N Mopac Expy Ste 120, Austin, Texas |
| Authorized Official Name and Position | Jonathan Callia (MANAGING PARTNER) |
| Authorized Official Contact | 5125899108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Periodontics Pa 8200 N Mopac Expy Ste 120 Austin TX 78759-8845 Ph: (512) 863-9500 | Austin Periodontics Pa 8200 N Mopac Expy Ste 120 Austin TX 78759-8845 Ph: (512) 863-9500 |
| NPI Number | 1245827096 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245827096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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