Laredo Oral & Maxillofacial Sur As | |
220 W Hillside Rd Ste 1 Laredo TX 78041-6903 | |
(956) 724-2244 | |
(956) 724-4007 |
Full Name | Laredo Oral & Maxillofacial Sur As |
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Speciality | Dentist |
Location | 220 W Hillside Rd Ste 1, Laredo, Texas |
Authorized Official Name and Position | John Charles Britton (DOCTOR/OWNER) |
Authorized Official Contact | 9567242244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Laredo Oral & Maxillofacial Sur As 220 W Hillside Rd Ste 1 Laredo TX 78041-6903 Ph: (956) 724-2244 | Laredo Oral & Maxillofacial Sur As 220 W Hillside Rd Ste 1 Laredo TX 78041-6903 Ph: (956) 724-2244 |
NPI Number | 1730446675 |
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Provider Enumeration Date | 04/17/2012 |
Last Update Date | 04/17/2012 |
Medicare PECOS PAC ID | 6800050238 |
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Medicare Enrollment ID | O20120614000162 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730446675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 16557 (Texas) | Primary |
Provider Name | John C Britton |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1699826834 PECOS PAC ID: 8426212853 Enrollment ID: I20120614000185 |
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