| Lago Vista Family Dentistry, Pllc | |
|
8008 Bronco Ln Ste B Lago Vista TX 78645-4151 | |
| (512) 277-3311 | |
| (512) 727-7943 |
| Full Name | Lago Vista Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8008 Bronco Ln Ste B, Lago Vista, Texas |
| Authorized Official Name and Position | Taran Bhatia (OWNER) |
| Authorized Official Contact | 5122773311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lago Vista Family Dentistry, Pllc 8008 Bronco Ln Ste B Lago Vista TX 78645-4151 Ph: (512) 277-3311 | Lago Vista Family Dentistry, Pllc 8008 Bronco Ln Ste B Lago Vista TX 78645-4151 Ph: (512) 277-3311 |
| NPI Number | 1275166605 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275166605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Red Balloon Family Dentistry-lago Vista Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Bronco Lane, Suite B, Lago Vista, TX 78645 Phone: 512-277-3311 Fax: 512-727-7943 |