| Lakeline Mall Dental | |
|
651 N Us Highway 183 Suite 150 Leander TX 78641-8990 | |
| (512) 260-0123 | |
| (512) 260-0110 |
| Full Name | Lakeline Mall Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 651 N Us Highway 183, Leander, Texas |
| Authorized Official Name and Position | Paul Dabney (OWNER/ DENTIST) |
| Authorized Official Contact | 5122600123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeline Mall Dental 651 N Us Highway 183 Suite 150 Leander TX 78641-8990 Ph: (512) 260-0123 | Lakeline Mall Dental 651 N Us Highway 183 Suite 150 Leander TX 78641-8990 Ph: (512) 260-0123 |
| NPI Number | 1093944241 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093944241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14486 (Texas) | Primary |
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