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1912121849
SHANE MATT
AUSTIN, TX
NPI
1912121849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TX DS-19858)
Enumeration Date
2007-04-12
Last Update Date
2010-04-19
Business Address
DR. SHANE MATT DDS
211 SAN ANTONIO ST
AUSTIN, TX 78701
Phone number: 512-330-9403
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Mailing Address
DR. SHANE MATT DDS
211 SAN ANTONIO STREET
AUSTIN, TX 78701
Phone number: 512-330-9403
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