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6000 W William Cannon Dr Ste A200 Austin TX 78749-1977 | |
(512) 282-0277 | |
(512) 282-7207 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 6000 W William Cannon Dr Ste A200, Austin, Texas |
Authorized Official Name and Position | Kathryn Zoumboukos (OWNER) |
Authorized Official Contact | 5415201473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6000 W William Cannon Dr Ste A200 Austin TX 78749-1977 Ph: (512) 282-0277 | 6000 W William Cannon Dr Ste A200 Austin TX 78749-1977 Ph: (512) 282-0277 |
NPI Number | 1659860112 |
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Provider Enumeration Date | 05/09/2018 |
Last Update Date | 05/09/2018 |
Identifier | Type | State | Issuer |
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1659860112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |