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1578221396
GEORGETOWN FAMILY DENTAL PLLC
GEORGETOWN, TX
NPI
1578221396
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Entity Type
Organization
Authorized Contact
WILLIAM ROBERT JENNINGS
Owner
940-206-8956
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
GEORGETOWN FAMILY DENTAL PLLC
3622 WILLIAMS DR STE 2
GEORGETOWN, TX 78628-2508
Phone number: 512-819-9100
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Mailing Address
GEORGETOWN FAMILY DENTAL PLLC
2109 COMMERCE ST # 200
DALLAS, TX 75201-4305
Phone number: 972-248-1221
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