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1093028490
JEANNIE ORTHODONTICS PA
AUSTIN, TX
NPI
1093028490
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Entity Type
Organization
Authorized Contact
KAREN CANTU
Credentialing Specialist
512-744-6000
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
JEANNIE ORTHODONTICS PA
9411 N LAMAR BLVD
AUSTIN, TX 78753-4178
Phone number: 512-744-6000
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Mailing Address
JEANNIE ORTHODONTICS PA
2621 RIDGEPOINT DR SUITE 130
AUSTIN, TX 78754-5232
Phone number: 512-744-6000
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