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Organization
LAKEWOOD DENTAL TRAILS
Active
Organization
LAKEWOOD DENTAL TRAILS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARITA ARSIAGA (AFFILIATE COACH)
(210) 787-4970
Entity
Organization
Contact information
Practice address
10252 W ADAMS AVE STE 101, TEMPLE, TX 76502-5794
(254) 206-3200
Mailing address
10252 W ADAMS AVE SUITE 101, TEMPLE, TX 76502
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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