Organization · Type 2 NPI
Lago Vista Family Dentistry, PLLC
Dental Clinic/Center · Lago Vista, TX
NPI number
1275166605
Active
Practice location
8008 Bronco Ln Ste B
Lago Vista, TX 78645-4151
Fax (512) 727-7943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1275166605
Lago Vista Family Dentistry, PLLC's National Provider Identifier is 1275166605, issued on Feb 13, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lago Vista, TX. The record was last updated on Feb 13, 2020.