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411 Brazos St Unit #206 Austin TX 78701-3698 | |
(512) 233-6200 | |
(512) 233-6201 |
Full Name | |
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Speciality | Dentist |
Location | 411 Brazos St, Austin, Texas |
Authorized Official Name and Position | Sandeep B Patel (PRESIDENT) |
Authorized Official Contact | 5122336200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11215 S. Ih-35 Suite#116 Austin TX 78747 Ph: (512) 233-6200 | 411 Brazos St Unit #206 Austin TX 78701-3698 Ph: (512) 233-6200 |
NPI Number | 1215015292 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/18/2008 |
Identifier | Type | State | Issuer |
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1215015292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 21274 (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 | |