| Lone Star Circle Of Care Dental Group | |
|
205 E University Ave Ste 200 Georgetown TX 78626-6821 | |
| (877) 800-5722 | |
| (512) 869-2940 |
| Full Name | Lone Star Circle Of Care Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 E University Ave Ste 200, Georgetown, Texas |
| Authorized Official Name and Position | Rhonda Mundhenk (CEO) |
| Authorized Official Contact | 5126860152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Circle Of Care Dental Group 205 E University Ave Ste 200 Georgetown TX 78626-6821 Ph: (877) 800-5722 | Lone Star Circle Of Care Dental Group 205 E University Ave Ste 200 Georgetown TX 78626-6821 Ph: (877) 800-5722 |
| NPI Number | 1538670419 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538670419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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