| Salute Oral And Facial Surgery, Pa | |
|
10801 N Mopac Expy Bldg. 2 Ste. 130 Austin TX 78759-5459 | |
| (512) 372-6230 | |
| Not Available |
| Full Name | Salute Oral And Facial Surgery, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10801 N Mopac Expy, Austin, Texas |
| Authorized Official Name and Position | Henry William Marcantoni (OWNER/SURGEON) |
| Authorized Official Contact | 5123726230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salute Oral And Facial Surgery, Pa 10801 N. Mopac Bldg. 2 Ste. 130 Austin TX 78759 Ph: (512) 372-6230 | Salute Oral And Facial Surgery, Pa 10801 N Mopac Expy Bldg. 2 Ste. 130 Austin TX 78759-5459 Ph: (512) 372-6230 |
| NPI Number | 1255521837 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255521837 | NPI | - | NPPES |
| B18386 | Other | TX | CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 18386 (Texas) | Primary |
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