| Lantana Family Dentistry, Pa | |
|
4110 Fm 407 Suite 150 Lewisville TX 75077-7269 | |
| (940) 455-7004 | |
| (940) 455-7064 |
| Full Name | Lantana Family Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4110 Fm 407, Lewisville, Texas |
| Authorized Official Name and Position | Kellie K Cleveland (OWNER/PRESIDENT) |
| Authorized Official Contact | 9404557004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lantana Family Dentistry, Pa 4110 Fm 407 Suite 150 Lewisville TX 75077-7269 Ph: (940) 455-7004 | Lantana Family Dentistry, Pa 4110 Fm 407 Suite 150 Lewisville TX 75077-7269 Ph: (940) 455-7004 |
| NPI Number | 1326315136 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326315136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21699 (Texas) | Primary |
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