SENIOR SMILES PA
Dentist at Ih 35, Austin, TX

License number
Texas 25128
Category
Dentist
Type
Dentist
Owner
Name: DR. GREGORY KON DDS
Title: PRESIDENT & OWNER
Phone: (512) 381-5572
Address
Address
2550 S I H 35 SUITE 215, Austin, TX 78704
National Provider ID: 1538559422
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SENIOR SMILES, PA

5501 Balcones Dr STE A # 118, Austin, TX 78731

Registration:
Jul 18, 2012
State ID:
0801626344
Business type:
Professional Association
Directors:
Mark W. Jumper (Director, Member),Gregory Kon (Director, Member, President, Secretary),Kon Gregory Director, inactive
Agent:
J. Lee Jarrard Jr,106 Fannin Ave, Round Rock, TX 78664 (Physical)
TIN:
32048503174

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