# LAKEWAY DENTAL OFFICE, P.A.

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

## Provider details

- **NPI number:** 1790130177
- **Authorized official:** DR. ROBERT VICTOR ROBINSON DDS (OWNER)
- **Authorized official phone:** (512) 261-5522

## Contact information

- **Practice address:** 2220 LAKEWAY BLVD., SUITE 200, AUSTIN, TX 78734-5132
- **Practice address phone:** (512) 261-5522
- **Practice address fax:** (512) 261-7084
- **Mailing address:** 2220 LAKEWAY BLVD., SUITE 200, AUSTIN, TX 78734-5132
- **Mailing address phone:** (512) 261-5522
- **Mailing address fax:** (512) 261-7084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15663 | TX | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 05/04/2016