Bakhtiar Sadruddin Bana, DDS

NPI #1972114056 in Austin, Texas

Provider Information

NPI Number: 1972114056
Entity Type: Individual
Name: Bakhtiar Sadruddin Bana, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 12, 2020
Last Updated: Aug 12, 2020

Practice Location

Address: 1110 W WILLIAM CANNON DR
City: Austin
State: Texas
ZIP Code: 78745-5468
Phone: (512) 445-5812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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