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1700 E. Oltorf St Suite 100 Austin TX 78741 | |
| (361) 463-9861 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1700 E. Oltorf St, Austin, Texas |
| Authorized Official Name and Position | Quyen Le Nguyen (DENTIST) |
| Authorized Official Contact | 5125931874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1700 E Oltorf St Ste 100 Austin TX 78741-4378 Ph: (512) 593-1874 | 1700 E. Oltorf St Suite 100 Austin TX 78741 Ph: (361) 463-9861 |
| NPI Number | 1093369712 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093369712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (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 | |