Bridgeview Dental

NPI 1366453664 - Dentist - 122300000X

NPI Details
NPI 1366453664
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LANCE E LANCE
Position PRESIDENT
Phone (512) 347-8299
Fax (512) 347-7197
Practice Location
3801 N CAPITAL OF TEXAS HWY
SUITE J240
AUSTIN TX, 78746-1416, US
Phone (512) 347-8299
Fax (512) 347-7197
Business Location
3801 N CAPITAL OF TEXAS HWY
SUITE J240
AUSTIN TX, 78746-1416, US
Phone (512) 347-8299
Fax (512) 347-7197
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 19054
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According to our database, Bridgeview Dental NPI is 1366453664, taxonomy code is 122300000X and license number is 19054, license state is located at Texas. Bridgeview Dental physically located at 3801 N Capital Of Texas Hwy, Austin TX, 78746-1416. NPI Number 1033115704 has the healthcare provider type.

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1366453664 NPI number is provided on an as is basis without warranty of any kind. 1366453664 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgeview Dental are for informational purposes only.