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Organization
LOCKHART SMILE CENTER PLLC
Active
Organization
LOCKHART SMILE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AI M PERRARD D.D.S. (MANAGER)
(832) 724-3098
Entity
Organization
Contact information
Practice address
308 S MAIN ST, LOCKHART, TX 78644-2752
(512) 398-6122
Mailing address
308 S MAIN ST, LOCKHART, TX 78644-2752
(512) 398-6122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22391
TX
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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