# CYPRESS LAKES DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114262961
- **Authorized official:** SATVIKA PINNAMANENI (CEO)
- **Authorized official phone:** (832) 215-2822

## Contact information

- **Practice address:** 26281 NORTHWEST FWY, SUITE 700, CYPRESS, TX 77429-7802
- **Practice address phone:** (832) 215-2822
- **Mailing address:** 26281 NORTHWEST FWY, SUITE 700, CYPRESS, TX 77429-7802
- **Mailing address phone:** (832) 215-2822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 23064 | TX | Yes |

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 12/05/2012
