Van Dyke Dental Associates, PA

NPI #1194039396 in Austin, Texas

Provider Information

NPI Number
1194039396
Entity Type
Organization
Organization Name
Van Dyke Dental Associates, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 29, 2010
Last Updated
Jul 29, 2010

Practice Location

Address
730 W STASSNEY LN
Address 2
SUITE 110
City
Austin
State
Texas
ZIP Code
78745-2982
Phone
(512) 744-6000

Authorized Official

Name
KAREN CANTU
Title
CREDENTIALING SPECIALIST
Phone
(512) 583-9679

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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