Organization
LAKESIDE DENTAL SLEEP ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHID BEIRUTE-PRADA DDS, MDS (OWNER)
(972) 412-0014
Entity
Organization
Contact information
Practice address
6705 HERITAGE PKWY STE 100, ROCKWALL, TX 75087-8728
(844) 695-7533
Mailing address
6705 HERITAGE PKWY STE 100, ROCKWALL, TX 75087-8728
(844) 695-7533
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/28/2020
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