| South Austin Oral Surgery | |
|
706b W Ben White Blvd # 194 Austin TX 78704-7153 | |
| (512) 692-7140 | |
| Not Available |
| Full Name | South Austin Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 706b W Ben White Blvd # 194, Austin, Texas |
| Authorized Official Name and Position | Nitin Uddaraju Raju (ORAL SURGEON) |
| Authorized Official Contact | 5126927140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Austin Oral Surgery 706b W Ben White Blvd # 194 Austin TX 78704-7153 Ph: (512) 692-7140 | South Austin Oral Surgery 706b W Ben White Blvd # 194 Austin TX 78704-7153 Ph: (512) 692-7140 |
| NPI Number | 1043927197 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043927197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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