GREAT GRINS DENTAL PLLC

AUSTIN, TX
NPI1144839390
Entity TypeOrganization
Authorized ContactBRENT EUGENE FOSSUM
Dentist
713-972-2044
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-07-23
Last Update Date2020-07-23
Business Address
GREAT GRINS DENTAL PLLC
5114 BALCONES WOODS DR STE 308
AUSTIN, TX 78759-5212
Phone number: 512-346-1900
Mailing Address
GREAT GRINS DENTAL PLLC
5672 RAIN CREEK PKWY
AUSTIN, TX 78759-6201
Phone number: 713-972-2044
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