| 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 |
|---|---|
| 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 |
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 | |