Shane Matt, DDS Pllc

NPI #1033511084 in Austin, Texas

Provider Information

NPI Number
1033511084
Entity Type
Organization
Organization Name
Shane Matt, DDS Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 22, 2014
Last Updated
Sep 22, 2014

Practice Location

Address
211 SAN ANTONIO ST
City
Austin
State
Texas
ZIP Code
78701-4063
Phone
(512) 330-9403

Authorized Official

Name
DR. SHANE EDEN MATT, DDS
Title
OWNER
Phone
(512) 330-9403

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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