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Organization

GEORGETOWN PEDIATRIC DENTISTRY, LLC

Active
Other names
Cove Pediatric Dentistry & Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH SEELY HAVARD D.D.S. (PARTNER/DENTIST)
(512) 818-0232
Entity
Organization

Contact information

Practice address
4507 WILLIAMS DRIVE, GEORGETOWN, TX 78633
(512) 869-4100
Mailing address
4507 WILLIAMS DR, GEORGETOWN, TX 78633
(512) 869-4100

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22754
TX
1223P0221X
Pediatric Dentistry
Primary
23759
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
16755
TX

Other

Enumeration date
05/04/2008
Last updated
12/21/2023
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