Access Dental Of Ed Bluestein PA
Dentist in Austin, TX. Organization (NPI-2).
NPI number1972942001
StatusActive
Last updated in NPPESJun 21, 2013
Details
- NPI
- 1972942001
- Entity type
- Organization (NPI-2)
- Legal business name
- Access Dental Of Ed Bluestein PA
- Organization subpart
- No
- Enumeration date
- Jun 21, 2013
- Last updated
- Jun 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22334 | TX | Yes |
Practice location
7112 Ed Bluestein BlvdSuite #132
Austin, TX 78723
Phone 817-531-3500
Mailing address
7112 Ed Bluestein BlvdSuite #132
Austin, TX 78723
Phone 817-531-3500
Authorized official
Tien Dinh Phan
Dentist
8175313500
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