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Organization

BRIDGEVIEW DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LANCE E LOVELESS D.D.S (PRESIDENT)
(512) 347-8299
Entity
Organization

Contact information

Practice address
3801 N CAPITAL OF TEXAS HWY, SUITE J240, AUSTIN, TX 78746-1416
(512) 347-8299
(512) 347-7197
Mailing address
3801 N CAPITAL OF TEXAS HWY, SUITE J240, AUSTIN, TX 78746-1416
(512) 347-8299
(512) 347-7197

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19054
TX

Other

Enumeration date
08/11/2006
Last updated
08/22/2020
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