| Red Square Dental & Orthodontics At Closner Pllc | |
|
1615 S Closner Blvd Edinburg TX 78539-5718 | |
| (956) 686-5511 | |
| (956) 686-9955 |
| Full Name | Red Square Dental & Orthodontics At Closner Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1615 S Closner Blvd, Edinburg, Texas |
| Authorized Official Name and Position | Vladislav Victor Loshkarev (DENTIST/OWNER) |
| Authorized Official Contact | 9566865511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Square Dental & Orthodontics At Closner Pllc 2702 Cornerstone Blvd Edinburg TX 78539-8327 Ph: (956) 686-5511 | Red Square Dental & Orthodontics At Closner Pllc 1615 S Closner Blvd Edinburg TX 78539-5718 Ph: (956) 686-5511 |
| NPI Number | 1043907702 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043907702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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