Provider Demographics
NPI:1770651903
Name:HINOJOSA, LUCILA (DDS)
Entity Type:Individual
Prefix:
First Name:LUCILA
Middle Name:
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 W PIONEER PKWY
Mailing Address - Street 2:#B
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051
Mailing Address - Country:US
Mailing Address - Phone:972-660-3900
Mailing Address - Fax:972-660-3905
Practice Address - Street 1:929 W PIONEER PKWY
Practice Address - Street 2:#B
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051
Practice Address - Country:US
Practice Address - Phone:972-660-3900
Practice Address - Fax:972-660-3905
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14941122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist