| Canyon Lake Dental Pllc | |
|
8565 Fm 2673 Canyon Lake TX 78133-4908 | |
| (903) 360-8657 | |
| Not Available |
| Full Name | Canyon Lake Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8565 Fm 2673, Canyon Lake, Texas |
| Authorized Official Name and Position | Dhaval Thakkar (DENTIST/ OWNER) |
| Authorized Official Contact | 9033608657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Lake Dental Pllc 9900 Westpark Dr Ste 350 Houston TX 77063-5285 Ph: (903) 360-8657 | Canyon Lake Dental Pllc 8565 Fm 2673 Canyon Lake TX 78133-4908 Ph: (903) 360-8657 |
| NPI Number | 1447884176 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447884176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Robbie Schaack Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8434 Fm 2673, Canyon Lake, TX 78133 Phone: 801-787-8239 |