Port Lavaca Dentistry Pllc
NPI #1881005296 in Port Lavaca, Texas
Provider Information
- NPI Number
- 1881005296
- Entity Type
- Organization
- Organization Name
- Port Lavaca Dentistry Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- May 20, 2014
- Last Updated
- Dec 4, 2025
Practice Location
- Address
- 1606 N VIRGINIA ST
- City
- Port Lavaca
- State
- Texas
- ZIP Code
- 77979
- Phone
- (361) 552-5800
Authorized Official
- Name
- PAOLA LOPEZ
- Title
- PAYER ENROLLMENT TEAM LEAD
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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