SD PARK LAKE PLLC

WACO, TX
NPI1164111241
Entity TypeOrganization
Authorized ContactLYNHTHY T PHAM
Owner
469-902-6792
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-05-03
Last Update Date2023-05-03
Business Address
SD PARK LAKE PLLC
1925 PARK LAKE DR
WACO, TX 76708-1682
Phone number: 254-221-0999
Mailing Address
SD PARK LAKE PLLC
PO BOX 453247
GARLAND, TX 75045-3247
Phone number: 214-466-1400
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