Individual
CELIA ANN TAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2411 WILLIAMS DR STE 111, GEORGETOWN, TX 78628-3268
(877) 800-5722
(512) 864-1447
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(877) 800-5722
(512) 869-2940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2915837-01
—
TX
Enumeration date
05/08/2012
Last updated
02/25/2021
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