Organization
CARUS DENTAL PC
Active
Parent organization
CARUS DENTAL PC
Other names
Carus Surgical Center San Marcos
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARUS DENTAL PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
102 WONDER WORLD DR STE 101, SAN MARCOS, TX 78666-6080
(512) 738-8572
Mailing address
102 WONDER WORLD DR STE 101, SAN MARCOS, TX 78666-6080
(512) 738-8572
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15919
TX
Other
Enumeration date
02/13/2018
Last updated
01/20/2022
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