Organization
ELEMENT DENTAL PLLC
Active
Other names
Element Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (CFO)
(972) 869-3789
Entity
Organization
Contact information
Practice address
103 N BRENTWOOD, #400, LUFKIN, TX 75904-7128
(972) 869-3789
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
04/25/2023
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