| Lynn Creek Molina Pllc | |
|
5115 Lake Ridge Pkwy Grand Prairie TX 75052-3003 | |
| (817) 533-4275 | |
| Not Available |
| Full Name | Lynn Creek Molina Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5115 Lake Ridge Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Antonio Molina (PRESIDENT) |
| Authorized Official Contact | 3056322530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Creek Molina Pllc 5115 Lakeridge Pkwy Grand Prairie TX 75052 Ph: (817) 533-4275 | Lynn Creek Molina Pllc 5115 Lake Ridge Pkwy Grand Prairie TX 75052-3003 Ph: (817) 533-4275 |
| NPI Number | 1417332602 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417332602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27850 (Texas) | Primary |
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