| Lakeway Periodontics | |
|
3315 Rr 620 S Suite 250 Lakeway TX 78738-6867 | |
| (512) 402-9090 | |
| Not Available |
| Full Name | Lakeway Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3315 Rr 620 S, Lakeway, Texas |
| Authorized Official Name and Position | Sasi K Mannem (OWNER) |
| Authorized Official Contact | 5124029090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeway Periodontics 3315 Rr 620 S Suite 250 Lakeway TX 78738-6867 Ph: (512) 402-9090 | Lakeway Periodontics 3315 Rr 620 S Suite 250 Lakeway TX 78738-6867 Ph: (512) 402-9090 |
| NPI Number | 1083940340 |
|---|---|
| Provider Enumeration Date | 10/21/2009 |
| Last Update Date | 10/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083940340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 19578 (Texas) | Primary |
Robert Dalfonso Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Ranch Road 620 S, Suite 300, Lakeway, TX 78734 Phone: 512-402-9399 Fax: 512-402-9499 | |
Merrily M Sandford, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2303 Ranch Road 620 S, Suite 140, Lakeway, TX 78734 Phone: 512-263-8284 | |
King Smiles Ii, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Sendera Bonita, Lakeway, TX 78734 Phone: 512-507-8468 Fax: 512-832-8454 | |
Hudson Bend Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 Rr 620 N Ste 300, Lakeway, TX 78734 Phone: 512-587-7979 | |
King Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Sendera Bonita, Lakeway, TX 78734 Phone: 512-832-6225 Fax: 512-832-8448 | |
Dr Kirsten M Gosney Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2422 Rr 620 South, #a 126, Lakeway, TX 78734 Phone: 512-263-8989 Fax: 512-263-9095 |