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Organization
LAWNDALE DENTAL, PA
Active
Organization
LAWNDALE DENTAL, PA
Active
Other names
Bay City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA COWART (OFFICE MANAGER)
(979) 323-8400
Entity
Organization
Contact information
Practice address
1801 MERLIN ST, BAY CITY, TX 77414-3131
(979) 323-8400
(979) 323-8404
Mailing address
1801 MERLIN ST, BAY CITY, TX 77414-3131
(979) 323-8400
(979) 323-8404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G60235-01
CHIPS
TX
Enumeration date
12/13/2006
Last updated
08/22/2020
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