| Metroplex Ora L And Facial Surgery | |
|
2762 N Galloway Ave #100 Mesquite TX 75150 | |
| (972) 698-8500 | |
| (972) 698-8505 |
| Full Name | Metroplex Ora L And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2762 N Galloway Ave, Mesquite, Texas |
| Authorized Official Name and Position | James R Lucente (DOCTOR/OWNER) |
| Authorized Official Contact | 9726988500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metroplex Ora L And Facial Surgery 2762 N Galloway Ave #100 Mesquite TX 75150 Ph: (972) 698-8500 | Metroplex Ora L And Facial Surgery 2762 N Galloway Ave #100 Mesquite TX 75150 Ph: (972) 698-8500 |
| NPI Number | 1528243094 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 08/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528243094 | NPI | - | NPPES |
| 166622401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | I9710 (Texas) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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