Lake Travis Family & Cosmetic Dentistry Pllc

NPI #1790047215 in Lakeway, Texas

Provider Information

NPI Number: 1790047215
Entity Type: Organization
Organization Name: Lake Travis Family & Cosmetic Dentistry Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 1605 RR 620 N
Address 2: STE 300
City: Lakeway
State: Texas
ZIP Code: 78734-2695
Phone: (512) 382-6985

Authorized Official

Name: DR. DAVID PANAHI, DDS
Title: OWNER/DENTIST
Phone: (512) 382-6985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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