| NPI | 1114526019 |
|---|---|
| Doing Business As | LAKE HIGHLANDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | CINDY MCCOURT Practice Manager 214-343-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-12-04 |