| NPI | 1265936934 |
|---|---|
| Doing Business As | LAKE OAK DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BATTEN Owner 512-668-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 31499) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |