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Organization

LAGO VISTA FAMILY DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TARAN BHATIA DDS (OWNER)
(512) 277-3311
Entity
Organization

Contact information

Practice address
8008 BRONCO LN STE B, LAGO VISTA, TX 78645-4151
(512) 277-3311
(512) 727-7943
Mailing address
8008 BRONCO LN STE B, LAGO VISTA, TX 78645-4151
(512) 277-3311
(512) 727-7943

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/13/2020
Last updated
02/13/2020
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