| Galleria Dental | |
|
8360 W. Expy 83 Mission TX 78572 | |
| (956) 581-5265 | |
| (956) 581-5299 |
| Full Name | Galleria Dental |
|---|---|
| Speciality | Dentist |
| Location | 8360 W. Expy 83, Mission, Texas |
| Authorized Official Name and Position | Ofelia P Hernandez (OWNER) |
| Authorized Official Contact | 9565815265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galleria Dental Po Box 3749 Mission TX 78573 Ph: (402) 321-3632 | Galleria Dental 8360 W. Expy 83 Mission TX 78572 Ph: (956) 581-5265 |
| NPI Number | 1568901957 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568901957 | NPI | - | NPPES |
| 365175401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28024 (Texas) | Primary |
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