Mustang Pediatric Dentistry | |
204 E 2nd St Rio Grande City TX 78582-3804 | |
(956) 992-1900 | |
Not Available |
Full Name | Mustang Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 204 E 2nd St, Rio Grande City, Texas |
Authorized Official Name and Position | Travis Corwin (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9569921900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mustang Pediatric Dentistry Po Box 5779 Mcallen TX 78502-5779 Ph: () - | Mustang Pediatric Dentistry 204 E 2nd St Rio Grande City TX 78582-3804 Ph: (956) 992-1900 |
NPI Number | 1184272429 |
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Provider Enumeration Date | 08/29/2019 |
Last Update Date | 08/30/2019 |
Identifier | Type | State | Issuer |
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1184272429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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