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1083490825
DERBY FAMILY DENTAL PLLC
AUSTIN, TX
NPI
1083490825
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Entity Type
Organization
Authorized Contact
WILLIAM R JENNINGS
Owner
940-206-8956
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
DERBY FAMILY DENTAL PLLC
3410 FAR WEST BLVD STE 340
AUSTIN, TX 78731-3272
Phone number: 512-795-0128
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Mailing Address
DERBY FAMILY DENTAL PLLC
2109 COMMERCE ST STE 200
DALLAS, TX 75201-4350
Phone number: 972-248-1221
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