| Central Texas Periodontics | |
|
1811 N. Austin Ave. Suite 101 Georgetown TX 78626 | |
| (512) 863-9500 | |
| (512) 863-9562 |
| Full Name | Central Texas Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1811 N. Austin Ave., Georgetown, Texas |
| Authorized Official Name and Position | Jonathan R Callia (DENTIST) |
| Authorized Official Contact | 5128639500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Texas Periodontics 1811 N. Austin Ave. Suite 101 Georgetown TX 78626 Ph: (512) 863-9500 | Central Texas Periodontics 1811 N. Austin Ave. Suite 101 Georgetown TX 78626 Ph: (512) 863-9500 |
| NPI Number | 1932328333 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932328333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 20343 (Texas) | Primary |
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