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Organization
HIGHLAND REJUVENATION CLINIC LLC
Active
Organization
HIGHLAND REJUVENATION CLINIC LLC
Active
Other names
Highland Rejuvenation Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROUZ BEHESHTIN DDS (MANAGERIAL MEMBER)
(703) 655-2747
Entity
Organization
Contact information
Practice address
2951 FM 1460 UNIT 1801, GEORGETOWN, TX 78626-7423
(240) 305-4819
Mailing address
2951 FM 1460 UNIT 1801, GEORGETOWN, TX 78626-7423
(240) 305-4819
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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