| Sonrisas Dental Center South, LLC | |
|
1217 W Slaughter Ln Ste 100 Austin TX 78748-6912 | |
| (512) 593-7970 | |
| Not Available |
| Full Name | Sonrisas Dental Center South, LLC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1217 W Slaughter Ln Ste 100, Austin, Texas |
| Authorized Official Name and Position | Mahya Farnia (OWNER) |
| Authorized Official Contact | 7377819438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonrisas Dental Center South, LLC 505 W Louis Henna Blvd Ste 110 Austin TX 78728-1702 Ph: (512) 593-7970 | Sonrisas Dental Center South, LLC 1217 W Slaughter Ln Ste 100 Austin TX 78748-6912 Ph: (512) 593-7970 |
| NPI Number | 1457961492 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 11/03/2020 |
| Certification Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457961492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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