Lake Leon Dental PLLC
Dentist, General Practice in Eastland, TX. Organization (NPI-2).
NPI number1710811237
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1710811237
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Leon Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2026
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1420 E Main StEastland, TX 76448-3023
Phone 254-629-7110 · Fax 254-629-7110
Mailing address
1420 E Main StEastland, TX 76448-3023
Phone 254-629-7110 · Fax 254-629-7110
Authorized official
Raghav Puri
Owner/Dentist
2546297110
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