| Eastside Smiles | |
|
4410 E Riverside Dr Suite 150 Austin TX 78741-4799 | |
| (512) 385-4700 | |
| Not Available |
| Full Name | Eastside Smiles |
|---|---|
| Speciality | Dentist |
| Location | 4410 E Riverside Dr, Austin, Texas |
| Authorized Official Name and Position | Jackson R Booth (PRESIDENT) |
| Authorized Official Contact | 5122827200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Smiles 9500 South Ih 35 Suite E 400 Austin TX 78748-1990 Ph: (512) 282-7200 | Eastside Smiles 4410 E Riverside Dr Suite 150 Austin TX 78741-4799 Ph: (512) 385-4700 |
| NPI Number | 1215259684 |
|---|---|
| Provider Enumeration Date | 02/25/2010 |
| Last Update Date | 02/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215259684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23496 (Texas) | Primary |
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