| Authentic Smiles | |
|
211 San Antonio St Austin TX 78701-4063 | |
| (512) 330-9403 | |
| (512) 373-3408 |
| Full Name | Authentic Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 211 San Antonio St, Austin, Texas |
| Authorized Official Name and Position | Shane Eden Matt (OWNER) |
| Authorized Official Contact | 5123309403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Smiles 211 San Antonio St Austin TX 78701-4063 Ph: (512) 330-9403 | Authentic Smiles 211 San Antonio St Austin TX 78701-4063 Ph: (512) 330-9403 |
| NPI Number | 1033511084 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033511084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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