| Pediatric Dentistry Of East Texas | |
|
1218 Ellis Ave Lufkin TX 75904-3326 | |
| (936) 634-6119 | |
| (936) 639-3442 |
| Full Name | Pediatric Dentistry Of East Texas |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1218 Ellis Ave, Lufkin, Texas |
| Authorized Official Name and Position | Warren Stacy Guy (OWNER) |
| Authorized Official Contact | 9366346119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of East Texas 1218 Ellis Ave Lufkin TX 75904-3326 Ph: (936) 634-6119 | Pediatric Dentistry Of East Texas 1218 Ellis Ave Lufkin TX 75904-3326 Ph: (936) 634-6119 |
| NPI Number | 1437493335 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437493335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | TX8431 (Texas) | Primary |
Lufkin Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 Ellis Ave, Lufkin, TX 75904 Phone: 936-634-6119 Fax: 936-639-3442 | |
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Valerie B. Fajen, D.d.s., M.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2306 W Frank Ave, Suite B, Lufkin, TX 75904 Phone: 936-634-2216 Fax: 936-634-2229 | |
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Dental Wellness Of East Texas Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Ellis Ave, Lufkin, TX 75904 Phone: 936-632-3368 Fax: 936-632-9696 |