| M G Dental Associates | |
|
710 Gaslight Blvd Ste C Lufkin TX 75904-3153 | |
| (936) 632-0077 | |
| (936) 632-0079 |
| Full Name | M G Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 710 Gaslight Blvd, Lufkin, Texas |
| Authorized Official Name and Position | Myra Lynn Gochnour (OWNER) |
| Authorized Official Contact | 2814551485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M G Dental Associates Po Box 154407 Lufkin TX 75915-4407 Ph: (936) 632-0077 | M G Dental Associates 710 Gaslight Blvd Ste C Lufkin TX 75904-3153 Ph: (936) 632-0077 |
| NPI Number | 1295992436 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295992436 | NPI | - | NPPES |
| 181535901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13030 (Texas) | Primary |
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