| Valley Dental Pa | |
|
2334 Boca Chica Blvd Suite #200 Brownsville TX 78521-2230 | |
| (956) 546-2973 | |
| (956) 546-1342 |
| Full Name | Valley Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2334 Boca Chica Blvd, Brownsville, Texas |
| Authorized Official Name and Position | Wendell David (DIRECT OWNER) |
| Authorized Official Contact | 9565462973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Dental Pa 2334 Boca Chica Blvd Suite #200 Brownsville TX 78521-2230 Ph: (956) 546-2973 | Valley Dental Pa 2334 Boca Chica Blvd Suite #200 Brownsville TX 78521-2230 Ph: (956) 546-2973 |
| NPI Number | 1316039910 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 09/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316039910 | NPI | - | NPPES |
| 162986701 | Medicaid | TX | |
| G60109-6 | Other | TX | TEXAS CHIP PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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