| Daniel L. Drefke, D.d.s. | |
|
1104 W Sam Houston Blvd Ste A Pharr TX 78577-5104 | |
| (956) 781-0031 | |
| (956) 781-0202 |
| Full Name | Daniel L. Drefke, D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1104 W Sam Houston Blvd Ste A, Pharr, Texas |
| Authorized Official Name and Position | Daniel Lewis Drefke (DENTIST/ OWNER) |
| Authorized Official Contact | 9567810031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel L. Drefke, D.d.s. 1104 W Sam Houston Blvd Ste A Pharr TX 78577-5104 Ph: (956) 781-0031 | Daniel L. Drefke, D.d.s. 1104 W Sam Houston Blvd Ste A Pharr TX 78577-5104 Ph: (956) 781-0031 |
| NPI Number | 1356768659 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 03/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356768659 | NPI | - | NPPES |
| 111230202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12818 (Texas) | Primary |
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