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1720 W Anderson Ln Austin TX 78757-1336 | |
| (512) 329-9900 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1720 W Anderson Ln, Austin, Texas |
| Authorized Official Name and Position | Joyce Wong (MANGER) |
| Authorized Official Contact | 5123299900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 162322 Austin TX 78716-2322 Ph: () - | 1720 W Anderson Ln Austin TX 78757-1336 Ph: (512) 329-9900 |
| NPI Number | 1659898997 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 08/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659898997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24821 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 30459 (Texas) | Secondary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |