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1033965009
SMILE BAR PROFESSIONAL CORPORATION
AUSTIN, TX
NPI
1033965009
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Entity Type
Organization
Authorized Contact
NICHOLE KOSTIUK
Dentist
941-875-7002
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
SMILE BAR PROFESSIONAL CORPORATION
9901 BRODIE LN STE 130
AUSTIN, TX 78748-5889
Phone number: 737-204-7208
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Mailing Address
SMILE BAR PROFESSIONAL CORPORATION
7329 CORDOBA DR
AUSTIN, TX 78724-6251
Phone number: 941-875-7002
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