| Tots To Teens Orthodontics | |
|
9902 Mcpherson Rd Ste 25 Laredo TX 78045-6546 | |
| (956) 725-3100 | |
| Not Available |
| Full Name | Tots To Teens Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9902 Mcpherson Rd Ste 25, Laredo, Texas |
| Authorized Official Name and Position | Joanna Ayala (MANAGING MEMBER) |
| Authorized Official Contact | 2106324560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tots To Teens Orthodontics Po Box 356 Lytle TX 78052-0356 Ph: () - | Tots To Teens Orthodontics 9902 Mcpherson Rd Ste 25 Laredo TX 78045-6546 Ph: (956) 725-3100 |
| NPI Number | 1619398278 |
|---|---|
| Provider Enumeration Date | 12/30/2013 |
| Last Update Date | 12/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619398278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 24255 (Texas) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24255 (Texas) | Primary |
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