Basic Information
| Provider Information | |||||||||
| NPI: | 1932489366 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TURCIOS | ||||||||
| FirstName: | DANIA | ||||||||
| MiddleName: | NEOMI | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.D.S | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 2529 S 1ST ST | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787045466 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129789865 | ||||||||
| FaxNumber: | 5129789558 | ||||||||
| Practice Location | |||||||||
| Address1: | 2529 S 1ST ST | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787045466 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129789865 | ||||||||
| FaxNumber: | 5129789558 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2011 | ||||||||
| LastUpdateDate: | 03/13/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 10521 | CO | N | Dental Providers | Dentist | General Practice | 1223D0001X | 28792 | TX | Y | Dental Providers | Dentist | Dental Public Health |
No ID Information.