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1679071633
BLUE SKY FAMILY DENTISTRY
AUSTIN, TX
NPI
1679071633
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Entity Type
Organization
Authorized Contact
BEN CORPRON
Owner
919-740-5096
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: TX 33478)
Enumeration Date
2018-01-24
Last Update Date
2018-01-24
Business Address
BLUE SKY FAMILY DENTISTRY
5915 LA CROSSE AVE STE 105
AUSTIN, TX 78739-1747
Phone number: 919-740-5096
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Mailing Address
BLUE SKY FAMILY DENTISTRY
1905 CROOKED LN
AUSTIN, TX 78741-3907
Phone number:
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