Provider Demographics
NPI:1487817482
Name:LLOREN, PRECIOUS G (DDS)
Entity type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:G
Last Name:LLOREN
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 1:8190 PRECINCT LINE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7675
Mailing Address - Country:US
Mailing Address - Phone:817-520-0252
Mailing Address - Fax:817-520-0525
Practice Address - Street 1:8190 PRECINCT LINE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-7675
Practice Address - Country:US
Practice Address - Phone:817-520-0520
Practice Address - Fax:817-520-0525
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice