Lake Country Dental

NPI #1063751584 in Horseshoe Bay, Texas

Provider Information

NPI Number: 1063751584
Entity Type: Organization
Organization Name: Lake Country Dental
Primary Specialty: Dentist
Enumeration Date: Feb 4, 2013
Last Updated: Feb 4, 2013

Practice Location

Address: 7401 WEST FM 2147
Address 2: SUITE 1
City: Horseshoe Bay
State: Texas
ZIP Code: 78657
Phone: (830) 201-2114

Authorized Official

Name: DR. LISA MARTIN, DDS
Title: OWNER
Phone: (830) 201-2114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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