Individual provider · Type 1 NPI
Antonia Peregonov Koob, D.D.S
General Practice Dentistry · Austin, TX
NPI number
1649280421
Active
Practice location
2500 W Parmer Ln, Suite 140
Austin, TX 78727-4233
Fax (512) 733-5600
Mailing address
2508 Merion Cv
Round Rock, TX 78664-6231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 20366 (TX) |
General Practice Dentistry: 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.
Another provider at this address
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About NPI 1649280421
Antonia Peregonov Koob, D.D.S's National Provider Identifier is 1649280421, issued on Aug 8, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.