Lakewood Dental Associates, Pllc
NPI #1760723381 in Huntsville, Texas
Provider Information
- NPI Number
- 1760723381
- Entity Type
- Organization
- Organization Name
- Lakewood Dental Associates, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 6, 2013
- Last Updated
- Feb 14, 2024
Practice Location
- Address
- 901 NORMAL PARK DR
- Address 2
- SUITE 200
- City
- Huntsville
- State
- Texas
- ZIP Code
- 77320-3770
- Phone
- (936) 689-6544
Authorized Official
- Name
- JEFFREY CLARK, D.M.D.
- Title
- OWNER/DENTIST
- Phone
- (936) 689-6544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Dental — Dental |
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