Johnathan Callia

NPI #1063561686 in Austin, Texas

Provider Information

NPI Number
1063561686
Entity Type
Individual
Name
Johnathan Callia
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jan 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2901 S CAPITAL OF TEXAS HWY
Address 2
SUITE A-2
City
Austin
State
Texas
ZIP Code
78746-8101
Phone
(512) 328-4867

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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