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1701 W Mile 3 Rd Mission TX 78573-4181 | |
| (956) 437-2220 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1701 W Mile 3 Rd, Mission, Texas |
| Authorized Official Name and Position | Harjap Singh Nanva (MEMBER) |
| Authorized Official Contact | 9564372220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
902 S Airport Dr Suite 2 Weslaco TX 78596-6644 Ph: () - | 1701 W Mile 3 Rd Mission TX 78573-4181 Ph: (956) 437-2220 |
| NPI Number | 1699149518 |
|---|---|
| Provider Enumeration Date | 11/16/2015 |
| Last Update Date | 11/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699149518 | NPI | - | NPPES |
| 202219607 | Medicaid | TX | |
| 313703601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24586 (Texas) | Primary |
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