# HIGHLAND REJUVENATION CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Highland Rejuvenation Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093500837
- **Authorized official:** BEHROUZ BEHESHTIN DDS (MANAGERIAL MEMBER)
- **Authorized official phone:** (703) 655-2747

## Contact information

- **Practice address:** 2951 FM 1460 UNIT 1801, GEORGETOWN, TX 78626-7423
- **Practice address phone:** (240) 305-4819
- **Mailing address:** 2951 FM 1460 UNIT 1801, GEORGETOWN, TX 78626-7423
- **Mailing address phone:** (240) 305-4819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2025
- **Last updated:** 04/11/2025