Canyon Lake Dental Pllc
NPI #1447884176 in Canyon Lake, Texas
Provider Information
- NPI Number
- 1447884176
- Entity Type
- Organization
- Organization Name
- Canyon Lake Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 3, 2020
- Last Updated
- Mar 3, 2020
Practice Location
- Address
- 8565 FM 2673
- City
- Canyon Lake
- State
- Texas
- ZIP Code
- 78133-4908
- Phone
- (903) 360-8657
Authorized Official
- Name
- DHAVAL THAKKAR
- Title
- DENTIST/ OWNER
- Phone
- (903) 360-8657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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