| The Lakes Family Dental Pllc | |
|
4428 N Mccoll Rd Mcallen TX 78504-2480 | |
| (956) 688-6000 | |
| Not Available |
| Full Name | The Lakes Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4428 N Mccoll Rd, Mcallen, Texas |
| Authorized Official Name and Position | Jeffrey Alvarado (OWNER) |
| Authorized Official Contact | 9566886000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lakes Family Dental Pllc 4428 N Mccoll Rd Mcallen TX 78504-2480 Ph: (956) 688-6000 | The Lakes Family Dental Pllc 4428 N Mccoll Rd Mcallen TX 78504-2480 Ph: (956) 688-6000 |
| NPI Number | 1326351347 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326351347 | NPI | - | NPPES |
| 007944402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20193 (Texas) | Primary |
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