Provider Demographics
NPI:1952687972
Name:MOLINARES, LILIA MARCELA (DDS)
Entity Type:Individual
Prefix:
First Name:LILIA
Middle Name:MARCELA
Last Name:MOLINARES
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 1:2406 GESSNER DR # A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-5008
Mailing Address - Country:US
Mailing Address - Phone:713-465-4155
Mailing Address - Fax:713-465-1090
Practice Address - Street 1:2406 GESSNER DR # A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-5008
Practice Address - Country:US
Practice Address - Phone:713-465-4155
Practice Address - Fax:713-465-1090
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX270521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice