| Lakeside Childrens Dentistry | |
|
103 Us Highway 281 Marble Falls TX 78654-5701 | |
| (830) 693-4770 | |
| (830) 693-4773 |
| Full Name | Lakeside Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 103 Us Highway 281, Marble Falls, Texas |
| Authorized Official Name and Position | Andrew Moroni Heaton (MEMBER) |
| Authorized Official Contact | 2546980641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Childrens Dentistry 103 N Us Highway 281 Marble Falls TX 78654-5701 Ph: (830) 693-4770 | Lakeside Childrens Dentistry 103 Us Highway 281 Marble Falls TX 78654-5701 Ph: (830) 693-4770 |
| NPI Number | 1528429792 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528429792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 27068 (Texas) | Primary |
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