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6414 River Place Blvd Suite 101 Austin TX 78730-1112 | |
| (512) 501-6022 | |
| (512) 284-8871 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6414 River Place Blvd, Austin, Texas |
| Authorized Official Name and Position | Adam Kristoff (OWNER) |
| Authorized Official Contact | 5125016022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6414 River Place Blvd Suite 101 Austin TX 78730-1112 Ph: (512) 501-6022 | 6414 River Place Blvd Suite 101 Austin TX 78730-1112 Ph: (512) 501-6022 |
| NPI Number | 1114208634 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114208634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20544 (Texas) | 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 | |