Organization
TLC PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN-NIKKO LEE DDS (SECRETARY)
(989) 385-0833
Entity
Organization
Contact information
Practice address
4701 183A TOLL RD., SUITE C, CEDAR PARK, TX 78613
(989) 385-0833
Mailing address
3815 GAINES CT, AUSTIN, TX 78735-6489
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27888
TX
1223P0221X
Pediatric Dentistry
27923
TX
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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