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Lake Travis Pediatric Dentistry
Pediatric Dentist in Lakeway, Texas
NPI 1508008590

Lake Travis Pediatric Dentistry is a Pediatric Dentist based in Lakeway, TX and is specialized in Pediatric Dentistry. Lake Travis Pediatric Dentistry practices in Lakeway, TX. The NPI Number for Lake Travis Pediatric Dentistry is 1508008590 and holds a License No. 22434 (Texas).

The current practice location address for Lake Travis Pediatric Dentistry is 1008 Rr 620 S, Lakeway, TX and can be reached out via phone at 512-263-1000.

Location: 1008 Rr 620 S, Lakeway, TX, 78734-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508008590
Provider Name
Lake Travis Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
1008 Rr 620 S, Lakeway, TX, 78734-5631
Phone Number
512-263-1000
Fax Number
Provider Enumeration Date
04/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1008 Rr 620 S
City
Lakeway
State
Texas
Zip
78734-5631
Phone Number
512-263-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1008 Rr 620 S
City
Lakeway
State
Texas
Zip
78734-5631
Phone Number
512-263-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22434 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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