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General NPI Number Information
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NPI Number | 1326351347
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Entity Type | Organization
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Legal Business Name | THE LAKES FAMILY DENTAL
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 3103 CENTER POINTE DR.
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-688-6000
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Fax | 956-661-9814
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Provider Business Mailing Address
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Address Line | 3103 CENTER POINTE DR.
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-688-6000
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Fax | 956-661-9814
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY ALVARADO
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Credential | D.D.S
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Telephone | 956-688-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20193
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License Number State | TX
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