Organization · Type 2 NPI

Lake Travis Pediatric Dentistry

Pediatric Dentistry · Lakeway, TX

NPI number 1508008590 Active

Practice location

1008 RR 620 S, Suite # 201
Lakeway, TX 78734-5631

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X22434 (TX)

Pediatric Dentistry: 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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About NPI 1508008590

Lake Travis Pediatric Dentistry's National Provider Identifier is 1508008590, issued on Apr 6, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lakeway, TX. The record was last updated on Apr 6, 2009.