Anderson Lane Dental Center Pllc

NPI #1457772816 in Austin, Texas

Provider Information

NPI Number
1457772816
Entity Type
Organization
Organization Name
Anderson Lane Dental Center Pllc
Primary Specialty
Dentist
Enumeration Date
Jan 2, 2014
Last Updated
Jan 2, 2014

Practice Location

Address
1802 W ANDERSON LN
City
Austin
State
Texas
ZIP Code
78757-1338
Phone
(512) 459-4347

Authorized Official

Name
MR. GERALD BERNARD PEVOW, DMD
Title
OWNER
Phone
(512) 459-4347

Specialties & Taxonomy Codes

Specialty
Dentist

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