| Lifeway Dental | |
|
505 E Hwy 67 Alvarado TX 76009 | |
| (817) 587-8888 | |
| Not Available |
| Full Name | Lifeway Dental |
|---|---|
| Speciality | Dentist |
| Location | 505 E Hwy 67, Alvarado, Texas |
| Authorized Official Name and Position | Blake Foust (OWNER) |
| Authorized Official Contact | 8175878888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeway Dental 505 E Hwy 67 Alvarado TX 76009 Ph: (817) 587-8888 | Lifeway Dental 505 E Hwy 67 Alvarado TX 76009 Ph: (817) 587-8888 |
| NPI Number | 1194143016 |
|---|---|
| Provider Enumeration Date | 03/29/2014 |
| Last Update Date | 03/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194143016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14855 (Texas) | Primary |
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