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1326622515
BRUSH DENTAL DOMAIN PC
AUSTIN, TX
NPI
1326622515
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Entity Type
Organization
Authorized Contact
VIRAJ DESAI
Owner
862-216-8108
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
BRUSH DENTAL DOMAIN PC
201 W 5TH ST
AUSTIN, TX 78701-2983
Phone number: 512-713-1099
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Mailing Address
BRUSH DENTAL DOMAIN PC
501 WEST AVE APT 1004
AUSTIN, TX 78701-2899
Phone number: 862-216-8108
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