Organization
WHITE BLOSSOM DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ZIN (PEDIATRIC DENTIST)
(737) 253-9535
Entity
Organization
Contact information
Practice address
3200 FM 1460, BLDG 3, SUITE 305, GEORGETOWN, TX 78626
(737) 253-9535
Mailing address
120 TEXON DR, LIBERTY HILL, TX 78642-2151
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
03/08/2024
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