| Van Dyke Dental Associates, Pa | |
|
730 W Stassney Ln Suite 110 Austin TX 78745-2982 | |
| (512) 744-6000 | |
| (512) 583-9679 |
| Full Name | Van Dyke Dental Associates, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 730 W Stassney Ln, Austin, Texas |
| Authorized Official Name and Position | Karen Cantu (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5125839679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Dyke Dental Associates, Pa 2621 Ridgepoint Dr Suite 130 Austin TX 78754-5232 Ph: (512) 744-6000 | Van Dyke Dental Associates, Pa 730 W Stassney Ln Suite 110 Austin TX 78745-2982 Ph: (512) 744-6000 |
| NPI Number | 1194039396 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194039396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23148 (Texas) | Primary |
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