| Lord Dental, P.a. | |
|
4509 E Lancaster Ave Fort Worth TX 76103-3210 | |
| (817) 546-1020 | |
| Not Available |
| Full Name | Lord Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4509 E Lancaster Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Leyla Lord (PRESIDENT) |
| Authorized Official Contact | 9729049248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lord Dental, P.a. 4509 E Lancaster Ave Fort Worth TX 76103-3210 Ph: (817) 546-1020 | Lord Dental, P.a. 4509 E Lancaster Ave Fort Worth TX 76103-3210 Ph: (817) 546-1020 |
| NPI Number | 1316013436 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316013436 | NPI | - | NPPES |
| 177614801 | Medicaid | TX | |
| B2202801 | Other | TX | CHIP |
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