Viva Smiles Georgetown Pllc

NPI #1598440380 in Georgetown, Texas

Provider Information

NPI Number: 1598440380
Entity Type: Organization
Organization Name: Viva Smiles Georgetown Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 19, 2023
Last Updated: Jun 19, 2023

Practice Location

Address: 1811 N AUSTIN AVE
City: Georgetown
State: Texas
ZIP Code: 78626-4627
Phone: (512) 863-9555

Authorized Official

Name: SRINIVAS DURSHANAPALLI, DDS
Title: PRESIDENT
Phone: (203) 215-4687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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