Lago Vista Family Dentistry, Pllc
NPI #1275166605 in Lago Vista, Texas
Provider Information
- NPI Number
- 1275166605
- Entity Type
- Organization
- Organization Name
- Lago Vista Family Dentistry, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 13, 2020
- Last Updated
- Feb 13, 2020
Practice Location
- Address
- 8008 BRONCO LN STE B
- City
- Lago Vista
- State
- Texas
- ZIP Code
- 78645-4151
- Phone
- (512) 277-3311
Authorized Official
- Name
- DR. TARAN BHATIA, DDS
- Title
- OWNER
- Phone
- (512) 277-3311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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