Lake Texana Family Dentistry

NPI #1790257491 in Edna, Texas

Provider Information

NPI Number: 1790257491
Entity Type: Organization
Organization Name: Lake Texana Family Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 19, 2018
Last Updated: Aug 28, 2020

Practice Location

Address: 502 N WELLS ST
City: Edna
State: Texas
ZIP Code: 77957-2749
Phone: (361) 782-2223

Authorized Official

Name: DR. ERIC OWEN, DDS
Title: PRESIDENT
Phone: (361) 782-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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