SOUTHPARK SMILES,PC

AUSTIN, TX
NPI1922259266
Entity TypeOrganization
Authorized ContactJACKSON ROBERT BOOTH
Dentist
512-739-9440
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2008-10-06
Last Update Date2008-10-06
Business Address
SOUTHPARK SMILES,PC
9500 S INTERSTATE 35 SUITE E-400
AUSTIN, TX 78748-1752
Phone number: 512-282-7200
Mailing Address
SOUTHPARK SMILES,PC
1603 NASH AVE
AUSTIN, TX 78704-3331
Phone number:
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