Van Dyke Dental Associates, PA

NPI #1104130905 in Austin, Texas

Provider Information

NPI Number
1104130905
Entity Type
Organization
Organization Name
Van Dyke Dental Associates, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 4, 2010
Last Updated
Aug 4, 2010

Practice Location

Address
9411 N LAMAR BLVD
City
Austin
State
Texas
ZIP Code
78753-4178
Phone
(512) 744-6000

Authorized Official

Name
KAREN CANTU
Title
CREDENTIALING SPECIALIST
Phone
(512) 744-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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