Grace, Lorenda L.
Grace, Lorenda L. is an individual health care provider with primary practice located at 6565 N Macarthur Blvd 225, Irving TX 75039-2461. She recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as her primary health care specialty. Grace, Lorenda L. can be contacted via phone (214) 677-8542.Contact Information
Primary practice address
6565 N Macarthur Blvd 225
Irving TX 75039-2461
Phone: (214) 677-8542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 17194 | Texas |
Profile Details
| NPI number | 1184830077 |
|---|---|
| LBN Legal business name | Grace, Lorenda L. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | May 20th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184830077 | NPPES |
| Texas | Other | 20-3906587 | TAX ID |
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