MICHAEL BIRDSONG DDS PC
Dentist at Spicewood Springs Rd, Austin, TX

License number
Texas 9762
Category
Dentist
Type
General Practice
Owner
Name: DR. MICHAEL B BIRDSONG DDS
Title: PRESIDENT
Phone: (512) 250-9603
Address
Address
8650 Spicewood Springs Rd STE 214, Austin, TX 78759
National Provider ID: 1306989611
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL BIRDSONG, DDS,PC

Austin, TX

Registration:
Dec 31, 1998
Addresses:
8650 Spicewood Spg Rd STE 214, Austin, TX 78759 (Mailing)
111 W Anderson Ln, Austin, TX 78752
State ID:
0092496202
Business type:
Domestic Professional Corporation
Chief Exec, Chief Executive Offi:
Michael Birdssong (Chief Exec, Chief Executive Offi), 8650 Spicewood Spg SUITE 214, Austin, TX 78759
Agent:
David Sefton,111 W Anderson Ln STE E 340 B, Austin, TX 78752 (Physical)
TIN:
32001191876

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