Lakeside Childrens Dentistry
NPI #1528429792 in Marble Falls, Texas
Provider Information
- NPI Number
- 1528429792
- Entity Type
- Organization
- Organization Name
- Lakeside Childrens Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 15, 2016
- Last Updated
- Oct 31, 2022
Practice Location
- Address
- 103 US HIGHWAY 281
- City
- Marble Falls
- State
- Texas
- ZIP Code
- 78654-5701
- Phone
- (830) 693-4770
Authorized Official
- Name
- DR. ANDREW MORONI HEATON, D.D.S.
- Title
- MEMBER
- Phone
- (254) 698-0641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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