# ALLURE DENTAL OF GRAPEVINE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609111889
- **Authorized official:** MARCUS LASTIMADO DMD (DENTIST)
- **Authorized official phone:** (972) 355-8688

## Contact information

- **Practice address:** 2805 E GRAPEVINE MILLS CIR, SUITE 180, GRAPEVINE, TX 76051-1210
- **Practice address phone:** (972) 355-8688
- **Mailing address:** 2805 E GRAPEVINE MILLS CIR, SUITE 180, GRAPEVINE, TX 76051-1210
- **Mailing address phone:** (972) 355-8688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 23570 | TX | Yes |

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 11/29/2012