Organization
LAKELAND HEALTHCARE MANAGEMENT
Active
Other names
Lakeland Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOZI ODOCHA PHD (CEO)
(817) 400-0380
Entity
Organization
Contact information
Practice address
2548 LILLIAN MILLER PKWY, SUITE 120, DENTON, TX 76210-7212
(817) 400-0380
(972) 947-3957
Mailing address
PO BOX 292114, LEWISVILLE, TX 75029-2114
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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