Organization
LAKES DENTAL FW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILE NGUYEN (OWNER)
(972) 896-9386
Entity
Organization
Contact information
Practice address
4968 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-1909
(817) 263-0181
Mailing address
5729 LEBANON RD STE 144268, FRISCO, TX 75034-7260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
12/15/2022
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