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4029 S Capital Of Texas Hwy Suite 109 Austin TX 78704-7927 | |
(512) 445-5866 | |
(512) 445-4262 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 4029 S Capital Of Texas Hwy, Austin, Texas |
Authorized Official Name and Position | Michael Ciaverelli (PRESIDENT) |
Authorized Official Contact | 5124455866 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4029 S Capital Of Texas Hwy Suite 109 Austin TX 78704-7927 Ph: (512) 445-5866 | 4029 S Capital Of Texas Hwy Suite 109 Austin TX 78704-7927 Ph: (512) 445-5866 |
NPI Number | 1619220811 |
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Provider Enumeration Date | 10/25/2012 |
Last Update Date | 10/25/2012 |
Identifier | Type | State | Issuer |
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1619220811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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 | |