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1700 W Parmer Ln Suite 250 Austin TX 78727-4604 | |
(512) 387-0097 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1700 W Parmer Ln, Austin, Texas |
Authorized Official Name and Position | Amirali Tahbaz (MEMBER) |
Authorized Official Contact | 7025266711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1300 E Riverside Dr Apt C204 Austin TX 78741-1108 Ph: () - | 1700 W Parmer Ln Suite 250 Austin TX 78727-4604 Ph: (512) 387-0097 |
NPI Number | 1457769325 |
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Provider Enumeration Date | 07/23/2014 |
Last Update Date | 07/23/2014 |
Identifier | Type | State | Issuer |
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1457769325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 28708 (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 | |