| Lol Dental | |
|
1501 E Loop 304 Suite 100 Crockett TX 75835-3417 | |
| (314) 477-2752 | |
| Not Available |
| Full Name | Lol Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1501 E Loop 304, Crockett, Texas |
| Authorized Official Name and Position | Sherif A Warda (OWNER) |
| Authorized Official Contact | 3144772752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lol Dental 23 Melrose Ave Pasadena CA 91105-1426 Ph: (310) 806-2970 | Lol Dental 1501 E Loop 304 Suite 100 Crockett TX 75835-3417 Ph: (314) 477-2752 |
| NPI Number | 1235499807 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235499807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Crockett Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 E Loop 304 Ste 120, Crockett, TX 75835 Phone: 936-544-3554 |