Silver Lake Dental

NPI #1235486275 in Allen, Texas

Provider Information

NPI Number: 1235486275
Entity Type: Organization
Organization Name: Silver Lake Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 9, 2012
Last Updated: Aug 9, 2012

Practice Location

Address: 551 W MCDERMOTT DR
City: Allen
State: Texas
ZIP Code: 75013-2705
Phone: (972) 359-9950

Authorized Official

Name: DR. JUSTIN HALL NYLANDER, DMD
Title: MANAGING MEMBER
Phone: (972) 359-9950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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