Lakeside Dental Care, Pllc

NPI #1164221636 in Canyon Lake, Texas

Provider Information

NPI Number
1164221636
Entity Type
Organization
Organization Name
Lakeside Dental Care, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 10, 2025
Last Updated
Mar 10, 2025

Practice Location

Address
16740 FM 306
State
Texas
ZIP Code
78133-3109
Phone
(512) 293-5502

Authorized Official

Name
DR. DANIEL ERWIN ALLEN, DDS
Title
OWNER
Phone
(512) 293-5502

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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