| Tooth Place Psja, Pllc | |
|
826 W Us Highway 83 San Juan TX 78589-2139 | |
| (956) 542-9200 | |
| Not Available |
| Full Name | Tooth Place Psja, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 826 W Us Highway 83, San Juan, Texas |
| Authorized Official Name and Position | Shelly Slovak Martinez (DDS) |
| Authorized Official Contact | 9565429200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Place Psja, Pllc 300 Lorenaly Dr Brownsville TX 78526-4060 Ph: (956) 542-9200 | Tooth Place Psja, Pllc 826 W Us Highway 83 San Juan TX 78589-2139 Ph: (956) 542-9200 |
| NPI Number | 1245890300 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 06/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245890300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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