| Wolf Ranch Dental Group | |
|
1135 West University Avenue Georgetown TX 78628 | |
| (512) 240-6623 | |
| (512) 371-6554 |
| Full Name | Wolf Ranch Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1135 West University Avenue, Georgetown, Texas |
| Authorized Official Name and Position | Michael Andrew Young (DDS) |
| Authorized Official Contact | 5122406623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf Ranch Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | Wolf Ranch Dental Group 1135 West University Avenue Georgetown TX 78628 Ph: (512) 240-6623 |
| NPI Number | 1588188304 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 08/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588188304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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