# LAKELAND HEALTHCARE MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeland Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922541416
- **Authorized official:** DR. NGOZI ODOCHA PHD (CEO)
- **Authorized official phone:** (817) 400-0380

## Contact information

- **Practice address:** 2548 LILLIAN MILLER PKWY, SUITE 120, DENTON, TX 76210-7212
- **Practice address phone:** (817) 400-0380
- **Practice address fax:** (972) 947-3957
- **Mailing address:** PO BOX 292114, LEWISVILLE, TX 75029-2114

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2016
- **Last updated:** 12/01/2016