Organization
LAKEWOOD DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CLARK D.M.D. (OWNER/DENTIST)
(936) 689-6544
Entity
Organization
Contact information
Practice address
901 NORMAL PARK DR, SUITE 200, HUNTSVILLE, TX 77320-3770
(936) 689-6544
Mailing address
901 NORMAL PARK DR, SUITE 200, HUNTSVILLE, TX 77320-3770
(936) 689-6544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
27909
TX
Other
Enumeration date
03/06/2013
Last updated
02/14/2024
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