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3310 W. Braker Ln Bld. 1 #100 Austin TX 78758 | |
(512) 617-0110 | |
(512) 617-0111 |
Full Name | |
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Speciality | Dentist |
Location | 3310 W. Braker Ln Bld. 1 #100, Austin, Texas |
Authorized Official Name and Position | Cortney Black (MANAGER) |
Authorized Official Contact | 5126170110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3310 W. Braker Ln Bld. 1 #100 Austin TX 78758 Ph: (512) 617-0110 | 3310 W. Braker Ln Bld. 1 #100 Austin TX 78758 Ph: (512) 617-0110 |
NPI Number | 1609209105 |
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Provider Enumeration Date | 08/20/2013 |
Last Update Date | 08/20/2013 |
Identifier | Type | State | Issuer |
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1609209105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (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 | |