Organization
CARUS DENTAL PC
Active
Parent organization
CARUS DENTAL PC
Other names
Carus Dental - Georgetown University
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARUS DENTAL PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-8905
Entity
Organization
Contact information
Practice address
950 W UNIVERSITY AVE STE 101, GEORGETOWN, TX 78626-6505
(512) 930-5930
(512) 869-0276
Mailing address
950 W UNIVERSITY AVE STE 101, GEORGETOWN, TX 78626-6505
(512) 930-5930
(512) 869-0276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
01/20/2022
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