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10119 Lake Creek Pkwy Ste 1 Austin TX 78729-1757 | |
| (512) 258-6979 | |
| (512) 250-0381 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10119 Lake Creek Pkwy, Austin, Texas |
| Authorized Official Name and Position | Farrah Agahi (PRESIDENT) |
| Authorized Official Contact | 5122586979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10119 Lake Creek Pkwy Ste 1 Austin TX 78729-1757 Ph: (512) 258-6979 | 10119 Lake Creek Pkwy Ste 1 Austin TX 78729-1757 Ph: (512) 258-6979 |
| NPI Number | 1750551925 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750551925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19179 (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 | |