Organization
GEORGETOWN DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN AFSHARI (DENTIST)
(737) 775-4470
Entity
Organization
Contact information
Practice address
1500 W UNIVERSITY AVE STE 105, GEORGETOWN, TX 78628-7109
(737) 775-4470
Mailing address
1500 W UNIVERSITY AVE STE 105, GEORGETOWN, TX 78628-7109
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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