| Lake Leon Dental Pllc | |
|
1414 E Main St Eastland TX 76448-3023 | |
| (361) 446-6396 | |
| Not Available |
| Full Name | Lake Leon Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1414 E Main St, Eastland, Texas |
| Authorized Official Name and Position | Raghav Puri (OWNER/DENTIST) |
| Authorized Official Contact | 9037234223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Leon Dental Pllc 1414 E Main St Eastland TX 76448-3023 Ph: (361) 446-6396 | Lake Leon Dental Pllc 1414 E Main St Eastland TX 76448-3023 Ph: (361) 446-6396 |
| NPI Number | 1710811237 |
|---|---|
| Provider Enumeration Date | 06/10/2026 |
| Last Update Date | 06/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710811237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Eastland Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 963 E Main St, Eastland, TX 76448 Phone: 254-488-9077 | |
Stephen M Laduque Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Main St, Eastland, TX 76448 Phone: 254-629-3330 Fax: 254-629-3332 |