| Lago Vista Family Dentistry, Inc. | |
|
1907 S Us-183, Suite 206 Leander TX 78641 | |
| (512) 817-4940 | |
| (512) 817-4955 |
| Full Name | Lago Vista Family Dentistry, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1907 S Us-183, Suite 206, Leander, Texas |
| Authorized Official Name and Position | Megan Brandt (REGIONAL MANAGER) |
| Authorized Official Contact | 5128174940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lago Vista Family Dentistry, Inc. 1907 S Us-183, Suite 206 Leander TX 78641 Ph: (512) 817-4940 | Lago Vista Family Dentistry, Inc. 1907 S Us-183, Suite 206 Leander TX 78641 Ph: (512) 817-4940 |
| NPI Number | 1295466274 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295466274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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