| Dr.cc's Tooth Factory | |
|
6910 Mcpherson Rd Suite 2 Laredo TX 78041-6407 | |
| (956) 625-5311 | |
| (956) 625-5333 |
| Full Name | Dr.cc's Tooth Factory |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6910 Mcpherson Rd, Laredo, Texas |
| Authorized Official Name and Position | Christian C Cabello (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 9566255311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.cc's Tooth Factory 6910 Mcpherson Rd Suite 2 Laredo TX 78041-6407 Ph: (956) 625-5311 | Dr.cc's Tooth Factory 6910 Mcpherson Rd Suite 2 Laredo TX 78041-6407 Ph: (956) 625-5311 |
| NPI Number | 1063962942 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063962942 | NPI | - | NPPES |
| 1750571139 | Medicaid | TX | |
| 1063962942 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Texas) | Primary |
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