| NPI | 1164305520 |
|---|---|
| Doing Business As | LAKEWAY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MOURAD S FAWZY Owner/CEO 512-263-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |