Healthcare Provider Details

I. General information

NPI: 1932489366
Provider Name (Legal Business Name): DANIA NEOMI TURCIOS D.D.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 03/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 S 1ST ST
AUSTIN TX
78704-5466
US

IV. Provider business mailing address

2529 S 1ST ST
AUSTIN TX
78704-5466
US

V. Phone/Fax

Practice location:
  • Phone: 512-978-9865
  • Fax: 512-978-9558
Mailing address:
  • Phone: 512-978-9865
  • Fax: 512-978-9558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10521
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number28792
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: