Lake Kiowa Smiles, Pllc
NPI #1952889404 in Lake Kiowa, Texas
Provider Information
- NPI Number
- 1952889404
- Entity Type
- Organization
- Organization Name
- Lake Kiowa Smiles, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 6, 2018
- Last Updated
- Aug 6, 2018
Practice Location
- Address
- 100 KIOWA DR W, STE 200
- City
- Lake Kiowa
- State
- Texas
- ZIP Code
- 76240-9502
- Phone
- (940) 612-1555
Authorized Official
- Name
- BENJAMIN TYLER HILL, DDS
- Title
- OWNER
- Phone
- (940) 612-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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