Organization · Type 2 NPI

Lake Granbury Dental & Orthodontics PLLC

General Practice Dentistry · Granbury, TX

NPI number 1942579602 Active

About NPI 1942579602

Lake Granbury Dental & Orthodontics PLLC's National Provider Identifier is 1942579602, issued on Dec 23, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Granbury, TX. The record was last updated on Dec 23, 2011.