Organization
LUX DENTAL LLC
Active
Parent organization
LUX DENTAL LLC
Other names
Accent Dental, Lux Dental LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUX DENTAL LLC
Authorized official
GINA FERRIS (OFFICE MANAGER)
(620) 231-2871
Entity
Organization
Contact information
Practice address
204 STATE ST, FORT SCOTT, KS 66701-2031
(620) 223-0130
(620) 223-1276
Mailing address
2002 S ROUSE ST, PITTSBURG, KS 66762-6629
(620) 231-2871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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