Lakeline Mall Family Dental

LBN: Lakeline Mall Family Dental
Lakeline Mall Family Dental is an health care organization with primary practice located at 11200 Lakeline Mall Dr Suite B01, Cedar Park TX 78613-1501. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lakeline Mall Family Dental can be contacted via phone (214) 390-9948, or through Cordon, Justin via phone (214) 390-9948.

Contact Information

Primary practice address
11200 Lakeline Mall Dr Suite B01 Cedar Park TX 78613-1501
Phone: (214) 390-9948
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cordon, Justin
Phone: (214) 390-9948

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1053753764
LBN Legal business name Lakeline Mall Family Dental
DBA Doing business as
Authorized official Cordon, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2013
Last updated Jul 23rd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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