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NPI Code Detail

MEDICARE: JOAN L SEFCIK D.D.S

MEDICARE:   JOAN L SEFCIK  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry14891TX

General Provider Information

NPI Number : 1578712550
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN L SEFCIK D.D.S
Provider Business Mailing Address
First Line : 4014 MARATHON BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3718
Country : US
Telephone Number : 512-453-6337
Fax Number : 512-453-6937
Provider Business Practice Location Address
First Line : 4014 MARATHON BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3718
Country : US
Telephone Number : 512-453-6337
Fax Number : 512-453-6937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2008
Last Update Date : 09/15/2008

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Directions to “ JOAN L SEFCIK D.D.S” Practice Location

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