| |
1703 Tulane Dr Lufkin TX 75901-5607 | |
(936) 632-4477 | |
(936) 639-5906 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 1703 Tulane Dr, Lufkin, Texas |
Authorized Official Name and Position | Ralph W. Rose (SOLE MEMBER) |
Authorized Official Contact | 9366324477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1703 Tulane Dr Lufkin TX 75901-5607 Ph: (936) 632-4477 | 1703 Tulane Dr Lufkin TX 75901-5607 Ph: (936) 632-4477 |
NPI Number | 1710488838 |
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Provider Enumeration Date | 02/23/2018 |
Last Update Date | 02/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710488838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |
Beautiful Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 Tulane Dr, Lufkin, TX 75901 Phone: 936-225-3544 | |
Warren Alyse Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Christie Dr, Lufkin, TX 75904 Phone: 936-634-6110 | |