Mira Lavallee
NPI #1346941887 in College Station, Texas
Provider Information
- NPI Number
- 1346941887
- Entity Type
- Individual
- Name
- Mira Lavallee
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 13, 2023
- Last Updated
- Feb 6, 2026
Practice Location
- Address
- 4400 STATE HIGHWAY 6 S STE 300
- City
- College Station
- State
- Texas
- ZIP Code
- 77845-4500
- Phone
- (979) 330-1070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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