| Lakeland Dental | |
|
2548 Lillian Miller Pkwy Suite 120 Denton TX 76210-7212 | |
| (817) 400-0380 | |
| (972) 947-3957 |
| Full Name | Lakeland Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2548 Lillian Miller Pkwy, Denton, Texas |
| Authorized Official Name and Position | Ngozi Odocha (CEO) |
| Authorized Official Contact | 8174000380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Dental Po Box 292114 Lewisville TX 75029-2114 Ph: () - | Lakeland Dental 2548 Lillian Miller Pkwy Suite 120 Denton TX 76210-7212 Ph: (817) 400-0380 |
| NPI Number | 1922541416 |
|---|---|
| Provider Enumeration Date | 12/01/2016 |
| Last Update Date | 12/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922541416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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