| Heather Hagen Dds & Miranda Lacy Dds | |
|
3604 Preston Road Suite 400 Plano TX 75093 | |
| (972) 312-0000 | |
| (972) 312-0600 |
| Full Name | Heather Hagen Dds & Miranda Lacy Dds |
|---|---|
| Speciality | Dentist |
| Location | 3604 Preston Road, Plano, Texas |
| Authorized Official Name and Position | Susie B Green (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 9723120000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Hagen Dds & Miranda Lacy Dds 3604 Preston Road Suite 400 Plano TX 75093 Ph: (972) 312-0000 | Heather Hagen Dds & Miranda Lacy Dds 3604 Preston Road Suite 400 Plano TX 75093 Ph: (972) 312-0000 |
| NPI Number | 1427125996 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427125996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19395 (Texas) | Primary |
| 122300000X | Dentist | 19424 (Texas) | Secondary |
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