South Austin Dental Associates

NPI #1558547182 in Austin, Texas

Provider Information

NPI Number: 1558547182
Entity Type: Organization
Organization Name: South Austin Dental Associates
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2008
Last Updated: Jan 14, 2008

Practice Location

Address: 4419 FRONTIER TRL
Address 2: SUITE 104
City: Austin
State: Texas
ZIP Code: 78745-1686
Phone: (512) 444-1133

Authorized Official

Name: DR. MICHAEL L. BUTCHER, DENTIST
Title: DR.
Phone: (512) 444-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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