Organization
LAKESIDE DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ERWIN ALLEN DDS (OWNER)
(512) 293-5502
Entity
Organization
Contact information
Practice address
16740 FM 306, CANYON LAKE, TX 78133-3109
(512) 293-5502
Mailing address
727 SPRING MOUNTAIN DR, CANYON LAKE, TX 78133-3694
(512) 293-5502
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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