Capital Orthodontics PA
Dentist, Orthodontics and Dentofacial Orthopedics in Austin, TX. Organization (NPI-2).
NPI number1750551925
StatusActive
Last updated in NPPESMay 23, 2012
Details
- NPI
- 1750551925
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital Orthodontics PA
- Organization subpart
- No
- Enumeration date
- Mar 4, 2008
- Last updated
- May 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 19179 | TX | Yes |
Other names
- Smiles By Dr Farrah (Other Name)
Practice location
10119 Lake Creek PkwySte 1
Austin, TX 78729-1757
Phone 512-258-6979 · Fax 512-250-0381
Mailing address
10119 Lake Creek PkwySte 1
Austin, TX 78729-1757
Phone 512-258-6979 · Fax 512-250-0381
Authorized official
Farrah Agahi
President
5122586979
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