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103 N Brentwood #400 Lufkin TX 75904-7128 | |
| (972) 869-3789 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 103 N Brentwood, Lufkin, Texas |
| Authorized Official Name and Position | Mary Pu (CFO) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | 103 N Brentwood #400 Lufkin TX 75904-7128 Ph: (972) 869-3789 |
| NPI Number | 1376838185 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376838185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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