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13048 Research Blvd Suite B Austin TX 78750-3205 | |
| (512) 257-2828 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 13048 Research Blvd, Austin, Texas |
| Authorized Official Name and Position | Sandy H Kim (OWNER) |
| Authorized Official Contact | 5122572828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13048 Research Blvd Suite B Austin TX 78750-3205 Ph: (512) 257-2828 | 13048 Research Blvd Suite B Austin TX 78750-3205 Ph: (512) 257-2828 |
| NPI Number | 1023360773 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023360773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27677 (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 | |