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2708 S Lamar Blvd # 100a Austin TX 78704-3964 | |
(732) 770-2996 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 2708 S Lamar Blvd # 100a, Austin, Texas |
Authorized Official Name and Position | Keshavi Patel (DENTIST) |
Authorized Official Contact | 7327702996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7900 Aspen Highlands Dr Austin TX 78746-4962 Ph: (732) 770-2996 | 2708 S Lamar Blvd # 100a Austin TX 78704-3964 Ph: (732) 770-2996 |
NPI Number | 1851872113 |
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Provider Enumeration Date | 08/24/2018 |
Last Update Date | 08/24/2018 |
Identifier | Type | State | Issuer |
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1851872113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 31345 (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 | |