Organization
LAKE VIEW DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE D PRIDDY (BUSINESS MANAGER)
(903) 569-5569
Entity
Organization
Contact information
Practice address
1800 S PACIFIC ST, MINEOLA, TX 75773-2800
(903) 569-5569
(903) 569-1601
Mailing address
1800 S PACIFIC ST, MINEOLA, TX 75773-2800
(903) 569-5569
(903) 569-1601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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