| De La Rosa And Martinez Dentistry Pllc | |
|
985 S Sam Houston Blvd San Benito TX 78586-3064 | |
| (956) 399-4312 | |
| (956) 399-9337 |
| Full Name | De La Rosa And Martinez Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 985 S Sam Houston Blvd, San Benito, Texas |
| Authorized Official Name and Position | Patricia De La Rosa (OFFICE MANAGER) |
| Authorized Official Contact | 9563994312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De La Rosa And Martinez Dentistry Pllc 985 S Sam Houston Blvd San Benito TX 78586-3064 Ph: (956) 399-4312 | De La Rosa And Martinez Dentistry Pllc 985 S Sam Houston Blvd San Benito TX 78586-3064 Ph: (956) 399-4312 |
| NPI Number | 1831550185 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831550185 | NPI | - | NPPES |
| 111234402 | Medicaid | TX | |
| 198199501 | Medicaid | TX | |
| 213449601 | Medicaid | TX | |
| 335402901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Texas) | Primary |
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