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2330 S Lamar Blvd Ste 300 Austin TX 78704-5265 | |
(512) 337-8226 | |
(512) 337-8227 |
Full Name | |
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Speciality | Dentist |
Location | 2330 S Lamar Blvd Ste 300, Austin, Texas |
Authorized Official Name and Position | Sulman Ahmed (CEO) |
Authorized Official Contact | 9723318079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | 2330 S Lamar Blvd Ste 300 Austin TX 78704-5265 Ph: (512) 337-8226 |
NPI Number | 1659880235 |
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Provider Enumeration Date | 09/26/2017 |
Last Update Date | 05/12/2023 |
Identifier | Type | State | Issuer |
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1659880235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (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 | |