Lakewood Dental Trails

NPI #1114453362 in Temple, Texas

Provider Information

NPI Number
1114453362
Entity Type
Organization
Organization Name
Lakewood Dental Trails
Primary Specialty
Preferred Provider Organization
Enumeration Date
May 10, 2017
Last Updated
May 10, 2017

Practice Location

Address
10252 W ADAMS AVE STE 101
City
Temple
State
Texas
ZIP Code
76502-5794
Phone
(254) 206-3200

Authorized Official

Name
MS. MARGARITA ARSIAGA
Title
AFFILIATE COACH
Phone
(210) 787-4970

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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