Legend Dental-Georgetown
NPI #1699042259 in Georgetown, Texas
Provider Information
- NPI Number
- 1699042259
- Entity Type
- Organization
- Organization Name
- Legend Dental-Georgetown
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 28, 2011
- Last Updated
- Apr 26, 2023
Practice Location
- Address
- 1013 W UNIVERSITY AVE STE 345
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-5345
- Phone
- (512) 869-4850
Authorized Official
- Name
- MARY PU
- Title
- VP OF FINANCE
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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