| Laredo Covenant Dental, P.a. | |
|
7917 Mcpherson Rd Suite 202 Laredo TX 78045-2811 | |
| (956) 712-8444 | |
| (956) 712-8439 |
| Full Name | Laredo Covenant Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7917 Mcpherson Rd, Laredo, Texas |
| Authorized Official Name and Position | Jin M Lee (OWNER) |
| Authorized Official Contact | 9567128444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laredo Covenant Dental, P.a. 7917 Mcpherson Rd Suite 202 Laredo TX 78045-2811 Ph: (956) 712-8444 | Laredo Covenant Dental, P.a. 7917 Mcpherson Rd Suite 202 Laredo TX 78045-2811 Ph: (956) 712-8444 |
| NPI Number | 1477669257 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477669257 | NPI | - | NPPES |
| G-6003101 | Other | TX | TEXAS CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21524 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 21577 (Texas) | Primary |
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