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Organization
PERSEUS DENTAL
Active
Organization
PERSEUS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA KELLOGG (OWNER)
(832) 492-6567
Entity
Organization
Contact information
Practice address
550 W ROUND GROVE RD STE 950, LEWISVILLE, TX 75067-1233
(832) 492-6567
Mailing address
412 BELMONT CT, LEWISVILLE, TX 75067-7906
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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