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11623 Angus Rd Suite 16 Austin TX 78759 | |
| (512) 346-5196 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 11623 Angus Rd, Austin, Texas |
| Authorized Official Name and Position | Marc J Worob (OWNER) |
| Authorized Official Contact | 5123465196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11623 Angus Rd #16 Austin TX 78759 Ph: (512) 346-1212 | 11623 Angus Rd Suite 16 Austin TX 78759 Ph: (512) 346-5196 |
| NPI Number | 1659644276 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 02/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659644276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29960 (Texas) | Primary |
| 122300000X | Dentist | 9745 (Texas) | Secondary |
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 | |