Lake Kiowa Family Dental, Pllc
NPI #1528423266 in Lake Kiowa, Texas
Provider Information
- NPI Number
- 1528423266
- Entity Type
- Organization
- Organization Name
- Lake Kiowa Family Dental, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 23, 2015
- Last Updated
- Dec 23, 2015
Practice Location
- Address
- 100 KIOWA DR W
- Address 2
- SUITE 200
- City
- Lake Kiowa
- State
- Texas
- ZIP Code
- 76240-9584
- Phone
- (940) 612-1555
Authorized Official
- Name
- DR. MATTHEW A BAYNE, DDS
- Title
- DENTIST
- Phone
- (940) 612-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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