| Paraiso Dental | |
|
1618 N Veterans Blvd Suite A San Juan TX 78589 | |
| (706) 461-1631 | |
| (956) 781-7000 |
| Full Name | Paraiso Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1618 N Veterans Blvd Suite A, San Juan, Texas |
| Authorized Official Name and Position | George Luikham (DENTIST) |
| Authorized Official Contact | 9567837070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paraiso Dental 6708 W.mile 7 Rd. Mission TX 78574 Ph: (956) 783-7070 | Paraiso Dental 1618 N Veterans Blvd Suite A San Juan TX 78589 Ph: (706) 461-1631 |
| NPI Number | 1558741553 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558741553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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