| Lakeside Dental | |
|
3120 Nasa Pkwy Seabrook TX 77586-6465 | |
| (281) 326-7117 | |
| Not Available |
| Full Name | Lakeside Dental |
|---|---|
| Speciality | Dentist |
| Location | 3120 Nasa Pkwy, Seabrook, Texas |
| Authorized Official Name and Position | Sally Ann Landon (MEMBER) |
| Authorized Official Contact | 2813267117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dental 3120 Nasa Pkwy Seabrook TX 77586-6465 Ph: (281) 326-7117 | Lakeside Dental 3120 Nasa Pkwy Seabrook TX 77586-6465 Ph: (281) 326-7117 |
| NPI Number | 1174952485 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174952485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18147 (Texas) | Primary |
Wave Crest Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3120 Nasa Pkwy, Seabrook, TX 77586 Phone: 281-326-7117 |