# LAKE HIGHLANDS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hermosa Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134810203
- **Authorized official:** MELISSA SIGMAN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (972) 292-3092

## Contact information

- **Practice address:** 6301 ABRAMS RD STE 125, DALLAS, TX 75231-7858
- **Practice address phone:** (214) 428-6212
- **Mailing address:** 1150 E ELDORADO PKWY STE 100, LITTLE ELM, TX 75068-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2023
- **Last updated:** 05/19/2023