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Organization
LAKEWAY SMILES
Active
Organization
LAKEWAY SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEJAS PATEL D.D.S. (OWNER)
(512) 476-2336
Entity
Organization
Contact information
Practice address
221 W 6TH ST, SUITE 940, AUSTIN, TX 78701-3400
(512) 476-2336
Mailing address
221 W 6TH ST, SUITE 940, AUSTIN, TX 78701-3400
(512) 476-2336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20997
TX
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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