| Enamel Dentistry South Lamar Pllc | |
|
2717 S Lamar Blvd Suite 1086 Austin TX 78704-5044 | |
| (512) 717-5315 | |
| Not Available |
| Full Name | Enamel Dentistry South Lamar Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2717 S Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Devishkumar Patel (OWNER) |
| Authorized Official Contact | 5127175315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enamel Dentistry South Lamar Pllc 2717 S Lamar Blvd Suite 1086 Austin TX 78704-5044 Ph: (512) 717-5315 | Enamel Dentistry South Lamar Pllc 2717 S Lamar Blvd Suite 1086 Austin TX 78704-5044 Ph: (512) 717-5315 |
| NPI Number | 1538515580 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538515580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30046 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 30081 (Texas) | Primary |
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