Provider Demographics
NPI:1720762529
Name:TAWADROS, LOREEN (DDS)
Entity Type:Individual
Prefix:
First Name:LOREEN
Middle Name:
Last Name:TAWADROS
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 1:3210 COMMONWEALTH DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-3442
Mailing Address - Country:US
Mailing Address - Phone:440-221-8654
Mailing Address - Fax:
Practice Address - Street 1:2307 W EXPY 83 STE C
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-3903
Practice Address - Country:US
Practice Address - Phone:956-375-2467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX397311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice