| Lake Country Orthodontics | |
|
5800 Boat Club Rd Fort Worth TX 76179-7773 | |
| (817) 236-7846 | |
| (817) 236-3354 |
| Full Name | Lake Country Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5800 Boat Club Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Ciro Cabal (OWNER/DOCTOR) |
| Authorized Official Contact | 8172367846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Country Orthodontics 5800 Boat Club Rd Fort Worth TX 76179-7773 Ph: (817) 236-7846 | Lake Country Orthodontics 5800 Boat Club Rd Fort Worth TX 76179-7773 Ph: (817) 236-7846 |
| NPI Number | 1972877959 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972877959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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