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6012 W William Cannon Dr Suite D-103 Austin TX 78749-1980 | |
| (512) 892-1188 | |
| (512) 892-0063 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6012 W William Cannon Dr, Austin, Texas |
| Authorized Official Name and Position | Mai Thi Tran (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 5128921188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6012 W William Cannon Dr Suite D-103 Austin TX 78749-1980 Ph: (512) 892-1188 | 6012 W William Cannon Dr Suite D-103 Austin TX 78749-1980 Ph: (512) 892-1188 |
| NPI Number | 1326157256 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326157256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19892 (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 | |