Highland Rejuvenation Clinic LLC
NPI #1093500837 in Georgetown, Texas
Provider Information
- NPI Number
- 1093500837
- Entity Type
- Organization
- Organization Name
- Highland Rejuvenation Clinic LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 11, 2025
- Last Updated
- Apr 11, 2025
Practice Location
- Address
- 2951 FM 1460 UNIT 1801
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-7423
- Phone
- (240) 305-4819
Authorized Official
- Name
- BEHROUZ BEHESHTIN, DDS
- Title
- MANAGERIAL MEMBER
- Phone
- (703) 655-2747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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