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1972114056
BAKHTIAR SADRUDDIN BANA
AUSTIN, TX
NPI
1972114056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 36544)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
BAKHTIAR SADRUDDIN BANA DDS
1110 W WILLIAM CANNON DR
AUSTIN, TX 78745-5468
Phone number: 512-445-5812
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Mailing Address
BAKHTIAR SADRUDDIN BANA DDS
11009 ALTERRA PKWY APT 1711
AUSTIN, TX 78758-1309
Phone number: 832-876-5730
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