| Aegis Dental Management Llc | |
|
1203 N Raul Longoria Rd San Juan TX 78589-3741 | |
| (956) 787-4840 | |
| Not Available |
| Full Name | Aegis Dental Management Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1203 N Raul Longoria Rd, San Juan, Texas |
| Authorized Official Name and Position | Jose L Villarreal (OWNER) |
| Authorized Official Contact | 9565379933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Dental Management Llc 1203 N Raul Longoria Rd San Juan TX 78589-3741 Ph: (956) 787-4840 | Aegis Dental Management Llc 1203 N Raul Longoria Rd San Juan TX 78589-3741 Ph: (956) 787-4840 |
| NPI Number | 1528653326 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528653326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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