Organization
LAKELINE RANCH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARDALAN ZAHEDI DDS (OWNER)
(512) 583-0700
Entity
Organization
Contact information
Practice address
10900 LAKELINE MALL DR, SUITE 250, AUSTIN, TX 78717-5924
(512) 583-0700
(512) 583-0700
Mailing address
10900 LAKELINE MALL DR, SUITE 250, AUSTIN, TX 78717-5924
(512) 583-0700
(512) 583-0700
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25493
TX
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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