Carlos Flores Lavenant | Redding, CA • PECOS Search

Carlos Flores Lavenant

Dentist

Dental Providers

2147 Court Street, Redding, CA 96001

(530) 246-4100 (214) 250-7580

PECOS Enrollment

Based on the most recent information from CMS, provider Carlos Flores Lavenant does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1871824540
Provider Type
Individual
Full Name
Flores Lavenant, Carlos
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
1/20/2010
Last Updated
1/20/2010

Contact Information

Practice Location

2147 Court Street, Redding, CA 96001

Unlisted Fax

Mailing Location

PO Box 560971, Dallas, TX 75356-0971

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 59101 California