| Lavon Family Dental | |
|
440 State Highway 78 Ste 200 Ste 200 Lavon TX 75166-1266 | |
| (972) 853-2100 | |
| (972) 853-2500 |
| Full Name | Lavon Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 440 State Highway 78 Ste 200, Lavon, Texas |
| Authorized Official Name and Position | Jeffrey H Ludlow (OWNER) |
| Authorized Official Contact | 2148866900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavon Family Dental 440 State Highway 78 Ste 200 Ste 200 Lavon TX 75166-1266 Ph: (972) 853-2100 | Lavon Family Dental 440 State Highway 78 Ste 200 Ste 200 Lavon TX 75166-1266 Ph: (972) 853-2100 |
| NPI Number | 1831414986 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 04/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831414986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21693 (Texas) | Primary |
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