PORT LAVACA DENTISTRY PLLC

PORT LAVACA, TX
NPI1881005296
Entity TypeOrganization
Authorized ContactPAOLA LOPEZ
Payer Enrollment Team Lead
972-869-3789
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  27025)
Enumeration Date2014-05-20
Last Update Date2025-12-04
Business Address
PORT LAVACA DENTISTRY PLLC
1606 N VIRGINIA ST
PORT LAVACA, TX 77979
Phone number: 361-552-5800
Mailing Address
PORT LAVACA DENTISTRY PLLC
ATTN: CREDENTIALING 2403 LACY LANE
CARROLLTON, TX 75006
Phone number: 972-869-3789
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