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Organization
LAKE GRANBURY DENTAL & ORTHODONTICS PLLC
Active
Organization
LAKE GRANBURY DENTAL & ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL KANEIRA D.D.S (PRESIDENT)
(214) 295-6805
Entity
Organization
Contact information
Practice address
1200 PALUXY MEDICAL CIR STE 101, GRANBURY, TX 76048-5696
(817) 573-8338
Mailing address
1200 PALUXY MEDICAL CIR STE 101, GRANBURY, TX 76048-5696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20062
TX
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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