Senior Smiles PA

NPI #1538559422 in Austin, Texas

Provider Information

NPI Number: 1538559422
Entity Type: Organization
Organization Name: Senior Smiles PA
Primary Specialty: Dentist
Enumeration Date: Jan 29, 2015
Last Updated: Jan 29, 2015

Practice Location

Address: 2550 S IH 35
Address 2: SUITE 215
City: Austin
State: Texas
ZIP Code: 78704-5722
Phone: (512) 381-5572

Authorized Official

Name: DR. GREGORY KON, DDS
Title: PRESIDENT & OWNER
Phone: (512) 381-5572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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