| Lakeview Dental, Llc | |
|
1309 Paluxy Rd Granbury TX 76048-5663 | |
| (817) 573-3724 | |
| (817) 573-9251 |
| Full Name | Lakeview Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1309 Paluxy Rd, Granbury, Texas |
| Authorized Official Name and Position | Wyatt O'grady (OWNER/DENTIST) |
| Authorized Official Contact | 8175733724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Dental, Llc 1309 Paluxy Rd Granbury TX 76048-5663 Ph: (817) 573-3724 | Lakeview Dental, Llc 1309 Paluxy Rd Granbury TX 76048-5663 Ph: (817) 573-3724 |
| NPI Number | 1770078289 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770078289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 32086 (Texas) | Primary |
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