# AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750616637
- **Authorized official:** HALEY WOOSTER (ENROLLMENT SPECIALIST)
- **Authorized official phone:** (712) 733-8551

## Contact information

- **Practice address:** 1103 RIVERY BLVD, STE 300, GEORGETOWN, TX 78628-3034
- **Practice address phone:** (918) 473-0285
- **Mailing address:** 1103 RIVERY BLVD, STE 300, GEORGETOWN, TX 78628-3034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0021124 | TX | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 11/17/2021