Kids Dental & Orthodontics | |
1618 N. I Road Suite A San Juan TX 78589 | |
(956) 783-7070 | |
Not Available |
Full Name | Kids Dental & Orthodontics |
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Speciality | Dentist |
Location | 1618 N. I Road Suite A, San Juan, Texas |
Authorized Official Name and Position | George Luikham (DDS) |
Authorized Official Contact | 9567837070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Dental & Orthodontics 1618 N. I Road Suite A San Juan TX 78589 Ph: (956) 783-7070 | Kids Dental & Orthodontics 1618 N. I Road Suite A San Juan TX 78589 Ph: (956) 783-7070 |
NPI Number | 1598021966 |
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Provider Enumeration Date | 04/10/2012 |
Last Update Date | 04/10/2012 |
Identifier | Type | State | Issuer |
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1598021966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 26420 (Texas) | Primary |
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