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Organization
LAKERIDGE FAMILY DENTISTRY & ORTHODONTICS
Active
Organization
LAKERIDGE FAMILY DENTISTRY & ORTHODONTICS
Active
Other names
Lakeridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINA KAY SNUGGS (BUSINESS MANAGER)
(806) 794-4180
Entity
Organization
Contact information
Practice address
4222 98TH ST, LUBBOCK, TX 79423-3957
(806) 794-4180
(806) 794-7690
Mailing address
4222 98TH ST, LUBBOCK, TX 79423-3957
(806) 794-4180
(806) 794-7690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18984
TX
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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