Nicholas Bumacod
Nicholas Bumacod is a Pediatric Dentistry in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2016
Practice location Address checks out
5900 W Slaughter Ln Ste 470CAustin, TX 78749-6513
Phone: (512) 288-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 33964 (TX) |
|---|
Record details
| NPI number | 1740643634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2016 |
| Last updated in NPPES | December 7, 2020 |
| Certification date | December 7, 2020 |
| Mailing address | 505 E Huntland Dr Ste 340, Austin, TX 78752-3745 |
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