| Citrus-04 Pllc | |
|
2650 W Lucas Rd # 120 Lucas TX 75002-7513 | |
| (214) 785-8271 | |
| Not Available |
| Full Name | Citrus-04 Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2650 W Lucas Rd # 120, Lucas, Texas |
| Authorized Official Name and Position | Gursimran Aurora (OWNER) |
| Authorized Official Contact | 3392343232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus-04 Pllc 2650 W Lucas Rd # 120 Lucas TX 75002-7513 Ph: (214) 785-8271 | Citrus-04 Pllc 2650 W Lucas Rd # 120 Lucas TX 75002-7513 Ph: (214) 785-8271 |
| NPI Number | 1104636117 |
|---|---|
| Provider Enumeration Date | 01/10/2025 |
| Last Update Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104636117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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