Lockhart Smile Center Pllc | |
308 S Main St Lockhart TX 78644-2752 | |
(512) 398-6122 | |
Not Available |
Full Name | Lockhart Smile Center Pllc |
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Speciality | Dentist - General Practice |
Location | 308 S Main St, Lockhart, Texas |
Authorized Official Name and Position | Ai M Perrard (MANAGER) |
Authorized Official Contact | 8327243098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lockhart Smile Center Pllc 308 S Main St Lockhart TX 78644-2752 Ph: (512) 398-6122 | Lockhart Smile Center Pllc 308 S Main St Lockhart TX 78644-2752 Ph: (512) 398-6122 |
NPI Number | 1255687208 |
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Provider Enumeration Date | 07/27/2012 |
Last Update Date | 07/27/2012 |
Identifier | Type | State | Issuer |
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1255687208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 22391 (Texas) | Primary |
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