# LAKE FOREST DENTAL, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538493408
- **Authorized official:** MS. ESMERALDA MORALES (OFFICE MANAGER)
- **Authorized official phone:** (817) 577-9200

## Contact information

- **Practice address:** 4987 W UNIVERSITY DR, MCKINNEY, TX 75071-5072
- **Practice address phone:** (817) 577-9200
- **Practice address fax:** (817) 281-9231
- **Mailing address:** 1801 PRECINCT LINE RD, SUITE A, HURST, TX 76054-3170
- **Mailing address phone:** (817) 577-9200
- **Mailing address fax:** (817) 281-9231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 20467 | TX | Yes |

## Other

- **Enumeration date:** 09/25/2009
- **Last updated:** 09/25/2009