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Organization
LWL DENTAL GROUP, PLLC
Active
Organization
LWL DENTAL GROUP, PLLC
Active
Other names
Just Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA K PETROPOULOS (OFFICE MANAGER)
(832) 886-4688
Entity
Organization
Contact information
Practice address
24441 KATY FWY, SUITE 200, KATY, TX 77494-1376
(832) 886-4688
Mailing address
24441 KATY FWY, SUITE 200, KATY, TX 77494-1376
(832) 886-4688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24051
TX
1223G0001X
General Practice Dentistry
24065
TX
1223G0001X
General Practice Dentistry
Primary
26046
TX
Other
Enumeration date
02/25/2014
Last updated
03/04/2014
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