Blvd Dentistry Austin Pllc

NPI #1386048759 in Austin, Texas

Provider Information

NPI Number
1386048759
Entity Type
Organization
Organization Name
Blvd Dentistry Austin Pllc
Primary Specialty
Dentist
Enumeration Date
Oct 14, 2014
Last Updated
Oct 14, 2014

Practice Location

Address
1920 E RIVERSIDE STE A-140
City
Austin
State
Texas
ZIP Code
78741
Phone
(972) 869-3789

Authorized Official

Name
MARY PU
Title
VP OF FINANCE
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Dentist

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