| Lake Country Dental | |
|
7401 West Fm 2147 Suite 1 Horseshoe Bay TX 78657 | |
| (830) 201-2114 | |
| Not Available |
| Full Name | Lake Country Dental |
|---|---|
| Speciality | Dentist |
| Location | 7401 West Fm 2147, Horseshoe Bay, Texas |
| Authorized Official Name and Position | Lisa Martin (OWNER) |
| Authorized Official Contact | 8302012114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Country Dental Po Box 4208 Horseshoe Bay TX 78657-4208 Ph: (830) 201-2114 | Lake Country Dental 7401 West Fm 2147 Suite 1 Horseshoe Bay TX 78657 Ph: (830) 201-2114 |
| NPI Number | 1063751584 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063751584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24676 (Texas) | Primary |
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