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Organization
VIVA SMILES GEORGETOWN PLLC
Active
Organization
VIVA SMILES GEORGETOWN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
(203) 215-4687
Entity
Organization
Contact information
Practice address
1811 N AUSTIN AVE, GEORGETOWN, TX 78626-4627
(512) 863-9555
(512) 316-3777
Mailing address
1811 N AUSTIN AVE, GEORGETOWN, TX 78626-4627
(512) 863-9555
(512) 316-3777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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