| Viva Smiles Georgetown Pllc | |
|
1811 N Austin Ave Georgetown TX 78626-4627 | |
| (512) 863-9555 | |
| (512) 316-3777 |
| Full Name | Viva Smiles Georgetown Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1811 N Austin Ave, Georgetown, Texas |
| Authorized Official Name and Position | Srinivas Durshanapalli (PRESIDENT) |
| Authorized Official Contact | 2032154687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Smiles Georgetown Pllc 1811 N Austin Ave Georgetown TX 78626-4627 Ph: (512) 863-9555 | Viva Smiles Georgetown Pllc 1811 N Austin Ave Georgetown TX 78626-4627 Ph: (512) 863-9555 |
| NPI Number | 1598440380 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598440380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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