Provider Demographics
NPI:1003036401
Name:LAFLEUR DENTAL INC., P.C.
Entity Type:Organization
Organization Name:LAFLEUR DENTAL INC., P.C.
Other - Org Name:BELKNAP FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAN
Authorized Official - Middle Name:MAI
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:682-647-1117
Mailing Address - Street 1:4021 E BELKNAP ST
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76111-6600
Mailing Address - Country:US
Mailing Address - Phone:682-647-1117
Mailing Address - Fax:682-647-1119
Practice Address - Street 1:4021 E BELKNAP ST
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76111-6600
Practice Address - Country:US
Practice Address - Phone:682-647-1117
Practice Address - Fax:682-647-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty