Kids Dentaland | |
3401 W. Mile 5 Road Suite 3 Mission TX 78574 | |
(956) 583-2077 | |
(956) 583-2272 |
Full Name | Kids Dentaland |
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Speciality | Dentist - General Practice |
Location | 3401 W. Mile 5 Road, Mission, Texas |
Authorized Official Name and Position | Miguel E Mego (PRESIDENT) |
Authorized Official Contact | 9569280022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Dentaland 3401 W. Mile 5 Road Suite 3 Mission TX 78574 Ph: (956) 583-2077 | Kids Dentaland 3401 W. Mile 5 Road Suite 3 Mission TX 78574 Ph: (956) 583-2077 |
NPI Number | 1790044501 |
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Provider Enumeration Date | 05/14/2012 |
Last Update Date | 05/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790044501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | 25382 (Texas) | Primary |
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