| Agua Dental | |
|
2155 Ruben Torres Blvd Suite 4 Brownsville TX 78526 | |
| (956) 380-2482 | |
| Not Available |
| Full Name | Agua Dental |
|---|---|
| Speciality | Dentist |
| Location | 2155 Ruben Torres Blvd, Brownsville, Texas |
| Authorized Official Name and Position | Shahrouz Akhavan (MANAGER) |
| Authorized Official Contact | 9563802482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agua Dental 307 E University Dr Edinburg TX 78539-3549 Ph: (956) 380-2482 | Agua Dental 2155 Ruben Torres Blvd Suite 4 Brownsville TX 78526 Ph: (956) 380-2482 |
| NPI Number | 1770954174 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770954174 | NPI | - | NPPES |
| 25304 | Other | TX | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25304 (Texas) | Primary |
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