DR. Sam B Fason, DDS

NPI #1093788556 in Austin, Texas

Provider Information

NPI Number
1093788556
Entity Type
Individual
Name
DR. Sam B Fason, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Feb 7, 2006
Last Updated
Apr 6, 2010

Practice Location

Address
711 W 38TH ST
Address 2
SUITE A-1
City
Austin
State
Texas
ZIP Code
78705-1121
Phone
(512) 454-1220

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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