Allure Dental Of Grapevine Pa | |
2805 E Grapevine Mills Cir Suite 180 Grapevine TX 76051-1210 | |
(972) 355-8688 | |
Not Available |
Full Name | Allure Dental Of Grapevine Pa |
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Speciality | Dentist |
Location | 2805 E Grapevine Mills Cir, Grapevine, Texas |
Authorized Official Name and Position | Marcus Lastimado (DENTIST) |
Authorized Official Contact | 9723558688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Allure Dental Of Grapevine Pa 2805 E Grapevine Mills Cir Suite 180 Grapevine TX 76051-1210 Ph: (972) 355-8688 | Allure Dental Of Grapevine Pa 2805 E Grapevine Mills Cir Suite 180 Grapevine TX 76051-1210 Ph: (972) 355-8688 |
NPI Number | 1609111889 |
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Provider Enumeration Date | 11/29/2012 |
Last Update Date | 11/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609111889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 23570 (Texas) | Primary |
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