Organization
LUFKIN DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (CREDENTIALING MANAGER)
(254) 338-1468
Entity
Organization
Contact information
Practice address
1218 ELLIS AVE, LUFKIN, TX 75904-3326
(936) 634-6119
(936) 639-3442
Mailing address
1218 ELLIS AVE, LUFKIN, TX 75904-3326
(936) 634-6119
(936) 639-3442
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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