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Organization
LAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC
Active
Organization
LAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC
Active
Other names
Lake Travis Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PANAHI DDS (OWNER/DENTIST)
(512) 382-6985
Entity
Organization
Contact information
Practice address
1605 RR 620 N, STE 300, LAKEWAY, TX 78734-2695
(512) 382-6985
Mailing address
1605 RR 620 N, STE 300, LAKEWAY, TX 78734-2695
(512) 382-6985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23378
TX
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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