is a Dentist in Mission, Texas. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1689831406. The last update date is .
's current location address is 2103 E Griffin Pkwy Ste A, Mission, Texas. You can contact this provider via phone number 9565839880 and fax number 9565831383. The mailing address for is 2103 E Griffin Pkwy Ste A, Mission, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2103 E Griffin Pkwy Ste A, Mission, Texas |
| Phone Number | 9565839880 |
| Fax Number | 9565831383 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689831406 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2103 E Griffin Pkwy Ste A |
|---|---|
| City | Mission |
| State | Texas (TX) |
| Post Code | 785723490 |
| Phone Number | 9565839880 |
| Fax Number | 9565831383 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19615 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142541505 | TX | -- | |
| B19615 | TX | DELTAL DENTAL STATE GOVERMENT |
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