LAKELINE MALL FDC PA

Dentist

Active Organization
NPI: 1275791410

Practice Address

11200 LAKELINE MALL DR
STE B1
Cedar Park, TX 78613

Phone: (512) 448-4867

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 0008481 (TX)

Frequently Asked Questions

NPI 1275791410 is the National Provider Identifier for LAKELINE MALL FDC PA, a Dentist provider located in Cedar Park, TX. This NPI was enumerated on May 23, 2008.

Quick Facts

NPI
1275791410
Type
Organization
Enumerated
May 23, 2008
Last Updated
May 23, 2008

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