| Cosmetic And Esthetic Dental Center | |
|
1501 W Sam Houston St Pharr TX 78577-5111 | |
| (956) 781-5477 | |
| (956) 781-4878 |
| Full Name | Cosmetic And Esthetic Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1501 W Sam Houston St, Pharr, Texas |
| Authorized Official Name and Position | Roberto Diaz (PRESIDENT) |
| Authorized Official Contact | 9567815477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic And Esthetic Dental Center 1501 W Sam Houston St Pharr TX 78577-5111 Ph: (956) 781-5477 | Cosmetic And Esthetic Dental Center 1501 W Sam Houston St Pharr TX 78577-5111 Ph: (956) 781-5477 |
| NPI Number | 1619042793 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619042793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13449 (Texas) | Primary |
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