Lake Family and Cosmetic Dentistry
Lake Family and Cosmetic Dentistry is a Dentist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2014.
- Licensed in
- TX
- In the registry since
- 2014
Practice location Address checks out
4968 Overton Ridge BlvdFort Worth, TX 76132-1909
Phone: (817) 263-0181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 25182 (TX) |
|---|
Record details
| NPI number | 1073936084 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Lake — Owner/ President · (817) 263-0181 |
| Other names | Lake Family Dental |
| NPI enumerated | January 27, 2014 |
| Last updated in NPPES | January 27, 2014 |
| Mailing address | 4968 Overton Ridge Blvd, Fort Worth, TX 76132-1909 |
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