Organization
LAKE TEXANA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC OWEN DDS (PRESIDENT)
(361) 782-2223
Entity
Organization
Contact information
Practice address
502 N WELLS ST, EDNA, TX 77957-2749
(361) 782-2223
Mailing address
502 N WELLS ST, EDNA, TX 77957-2749
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
08/28/2020
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