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Organization
LAGO VISTA FAMILY DENTISTRY, INC.
Active
Organization
LAGO VISTA FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN BRANDT (REGIONAL MANAGER)
(512) 817-4940
Entity
Organization
Contact information
Practice address
1907 S US-183, SUITE 206, LEANDER, TX 78641
(512) 817-4940
(512) 817-4955
Mailing address
1907 S US-183, SUITE 206, LEANDER, TX 78641
(512) 817-4940
(512) 817-4955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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