| Dental Republic | |
|
2015 E Riverside Dr Bldg 2 Ste C Austin TX 78741-1324 | |
| (512) 264-7300 | |
| Not Available |
| Full Name | Dental Republic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2015 E Riverside Dr, Austin, Texas |
| Authorized Official Name and Position | Son Tran (PRESIDENT) |
| Authorized Official Contact | 9727471400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Republic 2515 Mckinney Ave Suite 940 Dallas TX 75201-1908 Ph: (972) 747-1400 | Dental Republic 2015 E Riverside Dr Bldg 2 Ste C Austin TX 78741-1324 Ph: (512) 264-7300 |
| NPI Number | 1144520859 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 04/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144520859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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