Lakeway Dental Solutions. LLC

NPI #1538749270 in Lakeway, Texas

Provider Information

NPI Number
1538749270
Entity Type
Organization
Organization Name
Lakeway Dental Solutions. LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LAKEWAY DENTAL SOLUTIONS. LLC
Primary Specialty
Dentist
Enumeration Date
Apr 8, 2021
Last Updated
Apr 8, 2021

Practice Location

Address
1310 RANCH ROAD 620 SOUTH
Address 2
STE. B6
State
Texas
ZIP Code
78734
Phone
(512) 263-0064

Authorized Official

Name
MR. BRENT D DUPPER, DDS
Title
DENTIST/ OWNER
Phone
(512) 263-0064

Specialties & Taxonomy Codes

Specialty
Dentist

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