# PERSEUS DENTAL

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

## Provider details

- **NPI number:** 1548187974
- **Authorized official:** LARA KELLOGG (OWNER)
- **Authorized official phone:** (832) 492-6567

## Contact information

- **Practice address:** 550 W ROUND GROVE RD STE 950, LEWISVILLE, TX 75067-1233
- **Practice address phone:** (832) 492-6567
- **Mailing address:** 412 BELMONT CT, LEWISVILLE, TX 75067-7906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2026
- **Last updated:** 07/06/2026