| Imagine Dental Of South Laredo | |
|
3507 Jaime Zapata Memorial Hwy Ste 3 Laredo TX 78043-4769 | |
| (972) 832-7825 | |
| Not Available |
| Full Name | Imagine Dental Of South Laredo |
|---|---|
| Speciality | Dentist |
| Location | 3507 Jaime Zapata Memorial Hwy Ste 3, Laredo, Texas |
| Authorized Official Name and Position | Bradley Richens (OWNER) |
| Authorized Official Contact | 9728327825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Dental Of South Laredo 3507 Jaime Zapata Memorial Hwy Ste 3 Laredo TX 78043-4769 Ph: (972) 832-7825 | Imagine Dental Of South Laredo 3507 Jaime Zapata Memorial Hwy Ste 3 Laredo TX 78043-4769 Ph: (972) 832-7825 |
| NPI Number | 1447690276 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 06/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447690276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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