| Maxillofacial Prosthetics & Implant Dentistry Pc | |
|
5529 N Mccoll Rd Mcallen TX 78504-2244 | |
| (956) 630-2702 | |
| (956) 630-2703 |
| Full Name | Maxillofacial Prosthetics & Implant Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 5529 N Mccoll Rd, Mcallen, Texas |
| Authorized Official Name and Position | Domingo Valadez (DDS MSD) |
| Authorized Official Contact | 9566302702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxillofacial Prosthetics & Implant Dentistry Pc 5529 N Mccoll Rd Mcallen TX 78504-2244 Ph: (956) 630-2702 | Maxillofacial Prosthetics & Implant Dentistry Pc 5529 N Mccoll Rd Mcallen TX 78504-2244 Ph: (956) 630-2702 |
| NPI Number | 1689827933 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Medicare PECOS PAC ID | 9537336227 |
|---|---|
| Medicare Enrollment ID | O20120120000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689827933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 16880 (Texas) | Primary |
| Provider Name | Domingo Valadez |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952571150 PECOS PAC ID: 0446427132 Enrollment ID: I20120120000448 |
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