Austin Primary Dental INC

NPI #1497991210 in Austin, Texas

Provider Information

NPI Number: 1497991210
Entity Type: Organization
Organization Name: Austin Primary Dental INC
Primary Specialty: Dentist
Enumeration Date: Dec 29, 2008
Last Updated: Dec 29, 2008

Practice Location

Address: 6700 W GATE BLVD
Address 2: STE 103
City: Austin
State: Texas
ZIP Code: 78745-4867
Phone: (512) 440-1333

Authorized Official

Name: DR. JAYASHREE KYATAM, D.M.D
Title: PRESIDENT
Phone: (512) 440-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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