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Subia Ishtiaq
General Practice Dentistry in Austin, Texas
NPI 1356861579

Subia Ishtiaq is a General Practice Dentistry based in Austin, TX and is specialized in General Practice. Subia Ishtiaq practices in Austin, TX. The NPI Number for Subia Ishtiaq is 1356861579 and holds a License No. (Texas).

The current practice location address for Subia Ishtiaq is 2905 Corbin Ln, Austin, TX and can be reached out via phone at 312-800-3047.

Location: 2905 Corbin Ln, Austin, TX, 78704-5509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356861579
Provider Name
Subia Ishtiaq
Credential
Provider Entity Type
Individual
Gender
Female
Address
2905 Corbin Ln, Austin, TX, 78704-5509
Phone Number
312-800-3047
Fax Number
Provider Enumeration Date
06/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2905 Corbin Ln
City
Austin
State
Texas
Zip
78704-5509
Phone Number
312-800-3047
Fax Number
person
Provider Business Mailing Address Details
Address
2905 Corbin Ln
City
Austin
State
Texas
Zip
78704-5509
Phone Number
312-800-3047
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019032303 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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