| Midnite Dental, Pllc | |
|
801 E Nolana Ave Suite # 14 Mcallen TX 78504-6104 | |
| (415) 225-6675 | |
| Not Available |
| Full Name | Midnite Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 801 E Nolana Ave, Mcallen, Texas |
| Authorized Official Name and Position | Klaus Johann Radtke (OWNER/DENTIST) |
| Authorized Official Contact | 4152256675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midnite Dental, Pllc Po Box 3126 Mcallen TX 78502-3126 Ph: (415) 225-6675 | Midnite Dental, Pllc 801 E Nolana Ave Suite # 14 Mcallen TX 78504-6104 Ph: (415) 225-6675 |
| NPI Number | 1841606381 |
|---|---|
| Provider Enumeration Date | 07/04/2014 |
| Last Update Date | 04/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841606381 | NPI | - | NPPES |
| 2804890 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 26256 (Texas) | Primary |
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