Lake Granbury Dental & Orthodontics Pllc

NPI #1942579602 in Granbury, Texas

Provider Information

NPI Number: 1942579602
Entity Type: Organization
Organization Name: Lake Granbury Dental & Orthodontics Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 23, 2011
Last Updated: Dec 23, 2011

Practice Location

Address: 1200 PALUXY MEDICAL CIR STE 101
City: Granbury
State: Texas
ZIP Code: 76048-5696
Phone: (817) 573-8338

Authorized Official

Name: APRIL KANEIRA, D.D.S
Title: PRESIDENT
Phone: (214) 295-6805

Specialties & Taxonomy Codes

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

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