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Organization

LAKEWAY DENTAL SOLUTIONS. LLC

Active
Parent organization
LAKEWAY DENTAL SOLUTIONS. LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKEWAY DENTAL SOLUTIONS. LLC
Authorized official
MR. BRENT D DUPPER DDS (DENTIST/ OWNER)
(512) 263-0064
Entity
Organization

Contact information

Practice address
1310 RANCH ROAD 620 SOUTH, STE. B6, LAKEWAY, TX 78734
(512) 263-0064
(512) 263-2402
Mailing address
1310 RANCH ROAD 620 SOUTH, STE. B6, LAKEWAY, TX 78734
(512) 263-0064
(512) 263-2402

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/08/2021
Last updated
04/08/2021
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