| 956 Dental | |
|
3311 E Del Mar Blvd Ste 102 Laredo TX 78041-2449 | |
| (956) 508-2480 | |
| Not Available |
| Full Name | 956 Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 3311 E Del Mar Blvd Ste 102, Laredo, Texas |
| Authorized Official Name and Position | Louis Alfonso Garcia (SOLE OWNER) |
| Authorized Official Contact | 9562865674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 956 Dental 7550 Country Club Dr Apt 10104 Laredo TX 78041-3252 Ph: (956) 286-5674 | 956 Dental 3311 E Del Mar Blvd Ste 102 Laredo TX 78041-2449 Ph: (956) 508-2480 |
| NPI Number | 1134979727 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 04/28/2024 |
| Medicare PECOS PAC ID | 0547601031 |
|---|---|
| Medicare Enrollment ID | O20240515001820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134979727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Louis Alfonso Garcia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689725384 PECOS PAC ID: 6406032424 Enrollment ID: I20240515002049 |
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