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Carly Gubin
General Practice Dentistry in Georgetown, Texas
NPI 1275289209

Carly Gubin is a General Practice Dentistry based in Austin, TX and is specialized in General Practice. Carly Gubin practices in Georgetown, TX. The NPI Number for Carly Gubin is 1275289209 and holds a License No. 11919 (Texas).

The current practice location address for Carly Gubin is 904 W University Ave Ste 101, Georgetown, TX and can be reached out via phone at 615-329-4790.

Location: 904 W University Ave Ste 101, Georgetown, TX, 78703-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275289209
Provider Name
Carly Gubin
Credential
Provider Entity Type
Individual
Gender
Female
Address
904 W University Ave Ste 101, Georgetown, TX, 78703-4704
Phone Number
615-329-4790
Fax Number
Provider Enumeration Date
02/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
904 W University Ave Ste 101
City
Georgetown
State
Texas
Zip
78626-6512
Phone Number
615-329-4790
Fax Number
person
Provider Business Mailing Address Details
Address
904 W University Ave Ste 101
City
Georgetown
State
Texas
Zip
78626-6512
Phone Number
615-329-4790
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11919 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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