| NPI | 1790047215 |
|---|---|
| Doing Business As | LAKE TRAVIS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAVID PANAHI Owner/Dentist 512-382-6985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23378) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |