Mydental At Norwood PLLC
Dentist, General Practice in Austin, TX. Organization (NPI-2).
NPI number1013441286
StatusActive
Last updated in NPPESApr 14, 2017
Details
- NPI
- 1013441286
- Entity type
- Organization (NPI-2)
- Legal business name
- Mydental At Norwood PLLC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2017
- Last updated
- Apr 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30189 | TX | Yes |
Practice location
1045 Norwood Park BlvdSuite 103
Austin, TX 78753
Phone 512-815-3520
Mailing address
13000 N Ih 35 Ste 206Austin, TX 78753-1030
Phone 512-815-2524 · Fax 512-591-0768
Authorized official
Jinal Patel
Owner
5128153520
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