Organization
LAGO VISTA FAMILY DENTISTRY, INC.
Active
Other names
Red Balloon Family Dentistry-Lago Vista
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARAN BHATIA DMD (OWNER/PRESIDENT)
(512) 817-4940
Entity
Organization
Contact information
Practice address
8008 BRONCO LANE, SUITE B, LAGO VISTA, TX 78645
(512) 277-3311
(512) 727-7943
Mailing address
1907 S. US-183, SUITE 206, LEANDER, TX 78641
(512) 817-4940
(512) 817-4955
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10843
TX
Other
Enumeration date
11/21/2013
Last updated
07/21/2022
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