| Lake Granbury Dental & Orthodontics Pllc | |
|
1200 Paluxy Medical Cir Ste 101 Granbury TX 76048-5696 | |
| (817) 573-8338 | |
| Not Available |
| Full Name | Lake Granbury Dental & Orthodontics Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Paluxy Medical Cir Ste 101, Granbury, Texas |
| Authorized Official Name and Position | April Kaneira (PRESIDENT) |
| Authorized Official Contact | 2142956805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Granbury Dental & Orthodontics Pllc 1200 Paluxy Medical Cir Ste 101 Granbury TX 76048-5696 Ph: () - | Lake Granbury Dental & Orthodontics Pllc 1200 Paluxy Medical Cir Ste 101 Granbury TX 76048-5696 Ph: (817) 573-8338 |
| NPI Number | 1942579602 |
|---|---|
| Provider Enumeration Date | 12/23/2011 |
| Last Update Date | 12/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942579602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20062 (Texas) | Primary |
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