J. Kip Nielson DDS Pllc

NPI #1558742593 in Austin, Texas

Provider Information

NPI Number: 1558742593
Entity Type: Organization
Organization Name: J. Kip Nielson DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 16, 2015
Last Updated: Jun 16, 2015

Practice Location

Address: 10123 LAKE CREEK PKWY
Address 2: BLDG 2
City: Austin
State: Texas
ZIP Code: 78729-1754
Phone: (512) 250-8101

Authorized Official

Name: JED CODY NIELSON, DDS
Title: PROVIDER
Phone: (512) 250-8101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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