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Austin Oral & Maxillofacial Surgery Associates

Dentist, Oral and Maxillofacial Surgery in Austin, TX. Organization (NPI-2).

NPI number1508875147
StatusActive
Last updated in NPPESJan 14, 2010

Details

NPI
1508875147
Entity type
Organization (NPI-2)
Legal business name
Austin Oral & Maxillofacial Surgery Associates
Organization subpart
No
Enumeration date
Aug 5, 2006
Last updated
Jan 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery–TXYes

Practice location

711 W 38th St
Suite A-1
Austin, TX 78705-1121

Phone 512-454-1220 · Fax 512-467-0363

Mailing address

711 W 38th St
Suite A-1
Austin, TX 78705-1121

Phone 512-454-1220 · Fax 512-467-0363

Authorized official

Janice Marie Ashton
Managed Care Coordinator
5124541220

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