| Sugar Land Dental, Pa | |
|
101 Southwestern Blvd., Suite 204 Sugar Land TX 77478 | |
| (281) 980-5100 | |
| (281) 980-5151 |
| Full Name | Sugar Land Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Southwestern Blvd., Suite 204, Sugar Land, Texas |
| Authorized Official Name and Position | Laura Spencer Lacroix (PRESIDENT) |
| Authorized Official Contact | 2819805100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Land Dental, Pa 101 Southwestern Blvd., Suite 204 Sugar Land TX 77478 Ph: (281) 980-5100 | Sugar Land Dental, Pa 101 Southwestern Blvd., Suite 204 Sugar Land TX 77478 Ph: (281) 980-5100 |
| NPI Number | 1225479850 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225479850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19814 (Texas) | Primary |
| 124Q00000X | Dental Hygienist | 11954 (Texas) | Secondary |
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