# HEALTHY SMILES OF LAKEWAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Kirsten M Gosney DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174675292
- **Authorized official:** DR. KIRSTEN M GOSNEY DDS (OWNER DENTIST)
- **Authorized official phone:** (512) 263-8989

## Contact information

- **Practice address:** 2422 RR 620 SOUTH, \#A 126, LAKEWAY, TX 78734
- **Practice address phone:** (512) 263-8989
- **Practice address fax:** (512) 263-9095
- **Mailing address:** 2422 RR 620 SOUTH, \#A 126, LAKEWAY, TX 78734
- **Mailing address phone:** (512) 263-8989
- **Mailing address fax:** (512) 263-9095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21080 | TX | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 06/19/2008