institution
Lake Kiowa Family Dental, Pllc
Dental Clinic/Center in Lake Kiowa, Texas
NPI 1528423266

Lake Kiowa Family Dental, Pllc is a Dental Clinic/Center based in Lake Kiowa, TX and is specialized in Dental. Lake Kiowa Family Dental, Pllc practices in Lake Kiowa, TX. The NPI Number for Lake Kiowa Family Dental, Pllc is 1528423266 and holds a License No. 24498 (Texas).

The current practice location address for Lake Kiowa Family Dental, Pllc is 100 Kiowa Dr W, Lake Kiowa, TX and can be reached out via phone at 940-612-1555.

Location: 100 Kiowa Dr W, Lake Kiowa, TX, 76240-9584
institution
Provider Profile Details
NPI Number
1528423266
Provider Name
Lake Kiowa Family Dental, Pllc
Credential
Provider Entity Type
Organization
Address
100 Kiowa Dr W, Lake Kiowa, TX, 76240-9584
Phone Number
940-612-1555
Fax Number
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518167915 01 TX INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
100 Kiowa Dr W
City
State
Zip
76240-9584
Phone Number
940-612-1555
Fax Number
person
Provider Business Mailing Address Details
Address
100 Kiowa Dr W
City
State
Zip
76240-9584
Phone Number
940-612-1555
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
24498 (Texas)
Definition
Definition to come...
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