Organization
EADDY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINSTON MARSHALL EADDY DMD (PRESIDENT)
(512) 263-4252
Entity
Organization
Contact information
Practice address
900 RR 620 S, C-200, LAKEWAY, TX 78734
(512) 263-4252
(512) 263-1568
Mailing address
900 RR 620 S, C-200, LAKEWAY, TX 78734
(512) 263-4252
(512) 263-1568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19252
TX
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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