Rodeo Dental & Orthodontics | |
1141 Us Business 77 Ste G San Benito TX 78586 | |
(956) 361-3377 | |
Not Available |
Full Name | Rodeo Dental & Orthodontics |
---|---|
Speciality | Dentist |
Location | 1141 Us Business 77, San Benito, Texas |
Authorized Official Name and Position | Cynthia Gonzalez (OFFICE BILLER) |
Authorized Official Contact | 9563613377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rodeo Dental & Orthodontics 1141 Us Business 77 Ste G San Benito TX 78586 Ph: (956) 361-3377 | Rodeo Dental & Orthodontics 1141 Us Business 77 Ste G San Benito TX 78586 Ph: (956) 361-3377 |
NPI Number | 1447660048 |
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Provider Enumeration Date | 05/05/2014 |
Last Update Date | 05/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447660048 | NPI | - | NPPES |
1336495738 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 28289 (Texas) | Primary |
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