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
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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