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1212 Ellis Ave Lufkin TX 75904-3326 | |
| (936) 632-3368 | |
| (936) 632-9696 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1212 Ellis Ave, Lufkin, Texas |
| Authorized Official Name and Position | Don S Sanders (PRESIDENT) |
| Authorized Official Contact | 9366323368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1212 Ellis Ave Lufkin TX 75904-3326 Ph: (936) 632-3368 | 1212 Ellis Ave Lufkin TX 75904-3326 Ph: (936) 632-3368 |
| NPI Number | 1437217247 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437217247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17231 (Texas) | Primary |
Lufkin Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 Ellis Ave, Lufkin, TX 75904 Phone: 936-634-6119 Fax: 936-639-3442 | |
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