| Saint Joseph Oral & Maxillofacial | |
|
1519 E Bustamante St Suite B Laredo TX 78041-5305 | |
| (956) 795-1010 | |
| (956) 795-1040 |
| Full Name | Saint Joseph Oral & Maxillofacial |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 1519 E Bustamante St, Laredo, Texas |
| Authorized Official Name and Position | Cesar Trevino (OWNER) |
| Authorized Official Contact | 9567951010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Joseph Oral & Maxillofacial 1519 E Bustamante St Suite B Laredo TX 78041-5305 Ph: (956) 795-1010 | Saint Joseph Oral & Maxillofacial 1519 E Bustamante St Suite B Laredo TX 78041-5305 Ph: (956) 795-1010 |
| NPI Number | 1104956630 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104956630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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