Brush Dental Domain Pc | |
201 W 5th St Austin TX 78701-2983 | |
(512) 713-1099 | |
(512) 713-1166 |
Full Name | Brush Dental Domain Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 201 W 5th St, Austin, Texas |
Authorized Official Name and Position | Viraj Desai (OWNER) |
Authorized Official Contact | 8622168108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brush Dental Domain Pc 501 West Ave Apt 1004 Austin TX 78701-2899 Ph: (862) 216-8108 | Brush Dental Domain Pc 201 W 5th St Austin TX 78701-2983 Ph: (512) 713-1099 |
NPI Number | 1326622515 |
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Provider Enumeration Date | 05/12/2021 |
Last Update Date | 05/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326622515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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